Whilst striving to determine the nature and origin of this disease, it
becomes necessary to give the following particulars of an interesting
case of Palsy occasioned by a fall, attended with uncommon symptoms,
related by Dr. Maty, in the third volume of the Medical Observations
and Inquiries. The subject of this case, the Count de Lordat, had the
misfortune to be overturned from a pretty high and steep bank. His
head pitched against the top of the coach, and was bent from left to
right; his left shoulder, arm, and especially his hand, were
considerably bruised. At first he felt a good deal of pain along the
left side of his neck, but neither then, nor at any other time, had he
any faintings, vomitings, or giddiness.—On the sixth day he was let
blood, on account of the pain in his shoulder and the contusion of his
hand, which were then the only symptoms he complained of, and of
which he soon found himself relieved.—Towards the beginning of the
following winter, he began to find _a small impediment in uttering
some words, and his left arm appeared weaker_. In the following
spring, having suffered considerably from the severities of the winter
campaign, he found _the difficulty in speaking, and in moving his left
arm, considerably increased_.—On employing the thermal waters of
Bourbonne, his speech become freer, but, on his return to Paris, the
Palsy was increased, and the arm somewhat wasted.—In the beginning of
the next spring he went to Balaruc; when he became affected with
_involuntary convulsive motions all over the body_. The left arm
withered more and more, _a spitting began_, and now it was _with
difficulty that he uttered a few words_. Frictions and sinapisms were
successively tried, and an issue, made by a caustic, was kept open for
some time without any effect; but no mention is made of what part the
issue was established in.
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