Shell-shock and other neuropsychiatric problems : $b Presented in five hundred and eighty-nine case histories from the war literature, 1914-1918Southard, Elmer Ernest
History
Shell-shock and other neuropsychiatric problems : $b Presented in five hundred and eighty-nine case histories from the war literature, 1914-1918
Southard, Elmer Ernest
War neuroses; World War, 1914-1918 -- Medical care; World War, 1914-1918 -- Psychological aspects
A British soldier, aged 27, showed a somewhat remarkable phenomenon.
It appears that at five years of age, this man had had poliomyelitis,
affecting the left leg. At 20 years of age, he had had pneumonia, and
this had been followed by a paralysis of the right arm and leg with a
loss of speech. The man recovered from this illness, although he never
quite regained full control of the right hand. It is evident that
this lack of control was not marked, else the man would not have been
enlisted, and it is Dr. Batten’s opinion that at all events he could
not have shown pathological movements of the right hand at the time of
enlistment.
However this may be, in October, 1914, the soldier was struck on the
right shoulder with shrapnel. Apparently he was not wounded, but
thereafter he was not able to use the right arm well, and in two
months’ time he had become unable to manipulate his rifle. On January
13, 1915, he was sent home. The remnants of the old poliomyelitis of
the left leg were shown in a general weakness of that leg as compared
with the right. _The movements of the right hand were those seen in
athetosis._ The movements were independent of volition. The patient
had difficulty in releasing his grasp. He improved rapidly during the
six weeks he was in hospital, although the movements of the right hand
never became entirely normal.
In this case, according to Batten, “the stress was sufficient to bring
into prominence the symptoms due to an old cerebral lesion.”
Hysterical versus thalamic hemianesthesia.
=Case 114.= (LÉRI, October, 1916.)
A soldier, 40, had been suffering for a number of months with pains in
the left side of the trunk and feelings of weakness in the left arm and
leg. In the summer of 1915 he was on leave and while walking, fell,
lay down, and found he could hardly move his left arm and leg. Two or
three weeks later he got up, walking with a stick. After some time in
hospital, he was sent back to the trenches, a little weak.
He had shortly, however, to be examined neurologically again. He could
hardly raise the left leg and his passive resistance was poor on this
side. The left side was almost completely anesthetic to all forms
of stimulus, although an intense faradic current yielded a feeling
like that of a fly. Nor was the tactile sensation absolutely nil,
as it could be got with a flat finger on the upper arm and thigh.
Cold and heat sensations not well localized. The hemianesthesia was
sharply limited at the median line and affected the buccal, lingual
and nasal mucosa. Deep sensibility was almost abolished on the left
side. Stereognostic sense was lost and the sense of position was lost
absolutely for hand and foot.
Public-domain text, read in full here on John Shaqi.
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