A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Science
A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Medicine -- Practice
Positive Characters.—Tendency to strictly hemiplegic or bilaterally
hemiplegic grouping of symptoms; frequency of contracture or of a
spastic state of the paretic muscles; increase of reflexes in the
affected extremities; spasmodic manifestations in remote muscular
groups, but not in areas of nerve-distribution (forms of Jacksonian
epilepsy); the presence of paralytic and anæsthetic symptoms in the
range of distribution of cranial nerves; frequency of neuro-retinitis
or atrophy of the optic nerves; occurrence of lateral hemianopsia;
production of symptom-groups known as varieties of crossed paralysis;
frequency of head symptoms, as headache, vertigo, apoplectic and
epileptic seizures; mental symptoms of various sorts, dementia, coma,
etc.
Negative Characters.—Absence of truly paraplegiform distribution of
symptoms, even when they are bilateral; of cincture feelings; of pain
or other paræsthesiæ and anæsthesia in the distribution of
nerve-trunks; of muscular atrophy and De R. in paralyzed parts. Rarely
do we observe visceral paralysis and bed-sores.
Pathological localizations in the encephalon may conveniently be
grouped under two heads—viz. systematic and focal lesions.
A. SYSTEMATIC LESIONS OF THE ENCEPHALON.—The recent advances of
embryology, anatomy, physiology, and pathological anatomy have
conclusively established the existence, and fairly well defined the
limits, of a sensory (æsthesodic) and of a motor (kinesodic) tract in
the brain; and certain lesions of these tracts produce such precise
symptom-groups that their diagnosis during the patient's life is often
possible, and that, too, with great exactness.
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