Text book of veterinary medicine, Volume 3 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 3 (of 5)
Law, James
Veterinary medicine
The _Symptoms_ may be deferred for a length of time on account of the
accommodation of the myelon to the slowly increasing pressure. When they
do become manifest, it is usually at first by insensible gradations so
that for a time their existence is questionable. Yet a case will
sometimes reach a sudden climax, by reason of a blood extravasation or
inflammatory exudate, and the signs of sudden pressure or acute myelitis
or meningitis supervene. In the absence of sudden access of trouble, the
symptoms are those of a slow increase of _motor troubles_ (local
paresis, paralysis, paraplegia), or _sensory_ (hyperæsthesia,
anæsthesia). Spasms may occur early or even later in the disease. From
disorders due to cerebral lesions the morbid phenomena are distinguished
by being paraplegic rather than hemiplegic; sensori-motor rather than
sensory or motor; local rather than general; with intelligence and
special senses clear, rather than dull or abolished; associated with
marked muscular atrophy in the affected parts; advancing from behind
forward rather than uniform throughout the body.
The area of nervous disorder points more or less clearly to the seat of
the lesion. Early implication of the fore limbs, and then later of the
hind, suggests lesion of the cervical region. Dyspnœa tumultuous heart
action, or vertigo may coincide. Tardy movements of the hind limbs,
imperfect balancing, dragging, swaying, knuckling, involuntary flexions
of stifle or hock, flexor contractions, standing on toe, cramps,
paraplegia, indicate lesion in the dorsal or lumbar region. There may be
palsy of the rectum, anus, bladder, sphincter vesicæ, penis, and vulva.
Paralysis or other nervous disorder of the tail and sphincters ani and
vesicæ, without implication of the hind limbs or quarters, may bespeak
lesion in the terminal end of the spinal cord.
With paralysis of the bladder the penis may be pendent out of the
sheath, or being retained within it, the urine may dribble constantly
into and from that cavity, and the vulva may be soft and flaccid. When
the anus is involved, the adjacent part of the rectum usually
participates becoming overloaded, the sphincter is soft and lax and
allows a constant oozing, and the exposure of the mucosa. The paralytic
tail hangs between the thighs, limp and flaccid, and becomes saturated
with manure and in females with urine.
Even in the earlier stages the symptoms are usually greatly aggravated
by compulsory movements like turning in a circle, walking up hill, or
(in dogs) up a stair, the arched back, the pendent head, and hesitating
planting of the foot suggests walking on pins. For a more exact
localization of the lesion the reader may consult the table indicating
the functions of the different parts of the spinal cord. The early
fatigue under exercise grows as in other progressive spinal lesions.
Public-domain text, read in full here on John Shaqi.
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