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
As for other neurological complications aside from septic infection
and hernia formation, there are a few subjective symptoms that may
necessitate the invaliding of soldiers. The most common of these is
headache, usually in the form of a feeling of weight, pressure, or
throbbing in the head, which headache is increased by noise, fatigue,
exertion, or emotion. Attacks of dizziness also occur, and nervousness
or deficient control over emotions and feelings. Changes of temperament
are found in some soldiers, who become depressed, moody, irritable, or
emotional, and unable to concentrate attention.
Foix, under the direction of P. Marie, worked upon aphasia in 100
cases, reporting results at a surgical and neurological meeting, May
24, 1916, in Paris. Only lesions on the left side of the brain have
produced important and lasting speech disorder, although lesions on the
left side may leave behind them a little dysarthria or difficulty in
finding words in conversation. It is, of course, hard to tell speech
disorder from stupor or clouding of consciousness. Foix notes certain
specialties in speech defect according to which region of the left
brain is affected.
First: Prefrontal lesions produce a transient dysarthria, lasting but
a few weeks, and right-sided prefrontal lesions produce just as much
disorder.
Occipital lesions produce no speech disorder.
Second: Patients with right-sided hemianopsia due to lesions of
occipital regions were not aphasic and could read or write perfectly.
Lesions of the left visual centers certainly do not affect reading.
If, however, the injury is not to the visual centers, but is upon the
lateral part of the occipital lobe, then alexic phenomena appear, and
these the more the lesion approaches the temporal-parietal region.
Third: Central convolutional lesion produces a variety of disorders
according to the site and extent of the lesion. There is no aphasia
with the crural monoplegia due to superior paracentral disorder. But
slight aphasic disorder accompanies the brachial monoplegia of middle
central lesion, though writing, reading, and calculation are slightly
affected, and the more so the more the lesion extends posteriorly to
the stereognostic regions. The lower down in the precentral region the
lesion appears, the more likely is the Broca syndrome to be observed.
But if the hemiplegia is chiefly a brachial monoplegia, the aphasic
disorder may remain slight, involving reading, writing, understanding
of words, the spoken word, articulation, and calculation.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account