Neuralgia and the diseases that resemble itAnstie, Francis Edmund
Science
Neuralgia and the diseases that resemble it
Anstie, Francis Edmund
Neuralgia
In two other cases of lumbo-abdominal neuralgia which were under my
care, there were also very painful points in the spermatic cord and in
the testicle. One of these cases will be referred to under the head of
Visceral Neuralgia. Another case, in which severe quasi-neuralgic pain
was referred to the groin, will be described in the chapter on the Pains
of Hypochondriasis.
(_f_) _Crural Neuralgia._--This appears to be rare as an independent
affection occurring primarily in the crural nerve. Valleix had only seen
it twice in all his large experience, and I have never seen it myself.
Neuralgic pain of the crural nerve is almost always a secondary
affection arising in the course of a neuralgia, which first shows itself
in the external pudic branch of the sacral plexus; or else occurring as
a complication of sciatica. A remarkably severe example of the latter
occurrence was observed in an old man who still occasionally attends the
Westminster Hospital. He has been a martyr to the most inveterate
bilateral sciatica for between two and three years; and, within the last
three months, it has extended itself into the cutaneous branches of the
curval nerves of both thighs. So great an aggravation of the pain is
produced by any muscular movement, that the patient can only walk at the
slowest possible pace, moving each foot forward only a few inches at a
time. The bilateral distribution of the pain is remarkable in this case;
but there can be no doubt of its really neuralgic character, from the
truly intermittent way in which it recurs, and the absence of any
history whatever to point in the direction of rheumatism, gout, or
syphilis.
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