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
The author records this case of multiple lesions of cranial nerves
as due to shell windage. Thirty-one months after the onset of the
paralysis the cranial nerves, although manifestly regenerated, had
not regained conductivity. The officer was examined by Pachantoni at
Louèche-les-Bains in Switzerland.
_Re_ windage, see remarks under Case 201.
Wound of thigh: Claudication, vasomotor disorder, hypothermia, but
no exaggeration of tendon reflexes. Under CHLOROFORM, ELECTIVE
EXAGGERATION OF REFLEXES, _i.e._, in this case, hyperreflexia of
affected thigh, including patellar clonus, after other reflexes
(including conjunctival) had become extinct. The case described led to
the new formula of THE PHYSIOPATHIC SYNDROME (BABINSKI).
=Case 274.= (BABINSKI AND FROMENT, 1917.)
Babinski examined in August, 1915, at the Pitié, a soldier who had
been wounded in the upper and outer part of the thigh. He showed a
most marked claudication with outward rotation of the foot. There was
a muscular atrophy of the thigh but no appreciable disorder of the
electrical reactions. There was a slight limitation in the movements of
the hip, namely, the movements of flexion and internal rotation of the
thigh upon the pelvis; yet this limitation of movements did not seem to
be in proportion to the rest of the motor disorder. The X-ray showed
no joint lesion. The right knee-jerk was a bit stronger than the left,
though this was controversial. Achilles reflexes were normal and equal;
epileptoid trepidation of the foot, and clonus of the patella absent;
the limb showed marked and permanent vasomotor disorders and local
hypothermia; both phenomena were of a sharp and definite nature.
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