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
When he got up, his trunk and thighs were found to be in a state of
moderate flexion upon the pelvis, the trunk being bent almost at a
right angle; the legs were flexed somewhat upon the thighs. The man
could not voluntarily extend his trunk, but he could extend his thighs
to a moderate degree. He could bend his trunk still further forward
than its habitual contractured position, being able to pick up an
object from the ground. If the man was put in the ventral position,
the trunk could be straightened to a considerable degree. Curiously
enough, the man felt no pain, nor had there been any pain since the
healing of the wound. No motor, sensory, reflex, trophic, vasomotor,
electrical, visceral, or X-ray disorders could be found. It was evident
that there was a contraction of the muscles of the abdominal wall and
of the iliopsoas, yet it was also clear that these muscles were not
contractured on account of the subject’s ability to flex his trunk and
to extend his thighs.
Here, then, is a vicious attitude crystallized (in the phrase of
Souques) in the form of a pseudocontracture.
Blown up by shell; unconsciousness: Camptocormia (bent-back,
“cintrage”). Cure by corsets.
=Case 243.= (ROUSSY and LHERMITTE, 1917.)
Camptocormia with antero lateral bending is described by Roussy and
Lhermitte in an infantryman observed at Villejuif, February, 1915,
after having been wounded September 3, 1914. The infantryman had been
thrown into the air by the bursting of a shell, had lost consciousness,
and came to with violent pains in the back. The trunk was found to
be bent strongly forward and to the right side, and remained in this
position thereafter. There was no evidence of wound.
In February, 1916, a plaster corset was applied by Souques, which
brought the patient partly to normal station in three weeks. The trunk
was now no longer bent forward, but was still bent to the right. A
second corset was applied for three more weeks, with which the patient
became absolutely straightened out again. He was discharged cured and
sent to the Grand-Palais for the reëducation course.
Public-domain text, read in full here on John Shaqi.
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