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
An infantryman, observed at Villejuif, February 9, 1915, was
suffering from a right-sided crural monoplegia of a pseudocoxalgic
type, following a wound September 9, 1914. The wound had been a
through-and-through one in the upper right thigh. Every active movement
could be performed as well on the right side as on the left; but the
strength of the movements was less on the right, especially that of
leg-extension. The reflexes were normal, the lameness was slight, with
toeing out; the sole came down flat upon the ground. There was an
absolutely complete anesthesia of the entire right leg and side up to
the umbilicus.
Energetic faradization of the skin caused the anesthesia to disappear
the day the patient was brought to the hospital. The cure of the
lameness required a month of reëducation and electricity.
According to Roussy and Lhermitte, crural monoplegia is less frequent
than brachial monoplegia. The flaccid form is rare, and when it occurs,
complete, though the patient always remains capable of executing
some voluntary movements and can walk with crutches or cane. During
the automatic movements of walking, some muscles may be observed to
contract that remain immobile when the patient is being examined
recumbent. Naturally such a difference in contractions standing and
lying, would be very exceptional in a case of organic monoplegia.
Contusion of thigh: HYSTERICAL right crural MONOPLEGIA. An ORGANIC
CRUTCH PARALYSIS develops in the right arm, unobserved by the patient
whose main concern is his useless leg. Cure of leg by psychotherapy.
=Case 231.= (BABINSKI, 1917.)
A certain lieutenant, following contusion of the right thigh, developed
a crural monoplegia of hysterical nature. In fact, although the
paralysis had lasted several months, the tendon reflexes, the skin
reflexes, and the electrical responses of the muscles, were absolutely
normal. Moreover, the good effects of psychotherapy confirmed the
hypothesis. But besides the hysterical crural monoplegia, there was a
radial paralysis on the right side, clearly organic in nature, due to
the nerve compression by the crutch which the patient had employed on
account of the paralysis of his leg.
Public-domain text, read in full here on John Shaqi.
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