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
_Causes._ The toxic neuralgias are illustrated by chronic lead
poisoning, in which, in man, there are wandering pains like those of
rheumatism, and in the lower animals muscular stiffness and contractions
which suggest a similar condition. In man, too, gout is a common factor,
and in pigs and birds in which this condition exists, stiffness and
evidence of suffering may well be at times attributed to a similar
cause. How many other forms of chronic metallic poisoning and poisoning
by morbid autochthonous products of indigestion are attended by
disorders of innervation and nutrition, it is as yet impossible to say.
The direct action of cold, an anæmic condition of the nerves, and reflex
action from distant sources of irritation are among the other invoked
causes. Inflammation in the _nervi nervorum_ is also invoked as a
factor, but in this case the symptoms would not accord with the rule
given above, since the nerve trunks would be very tender to touch or
pressure, and the suffering would be unshifting and shown permanently in
the one seat.
=Facial Neuralgia.= Lafosse and Zundel describe as cases of this kind
those in which periodically the horse’s eyes are fixed and shining, the
ears drawn back and depressed as in vice, the head at intervals bent on
the neck, with plaintive neighing, rubbing the head on the stall and
pawing. Those cases of twitching of the head or rapid jerking of the
ears in horses, when they have been driven for some distance, and which
are relieved by wearing a close net over the nostril or by section of
the trifacial nerve at the infra-orbital foramen, manifestly partake of
this character.
=Cervico-Occipital Neuralgia.= Lafosse speaks of this as often mistaken
for torticolis, the head being turned to the affected side during the
paroxysms. In man this is often a result of cold draughts on the back of
the head, and associated with tender points on the course of the nerve,
between the mastoid and the median line.
=Dorso-intercostal neuralgia= causes pain in deep inspiration, and
=lumbo-abdominal neuralgia= develops tenderness in the loins, in one
testicle, or in one lip of the vulva according to Lafosse. Diagnosis
between such cases and neuritis, spinal disease, and other obscure
nervous affections must be very problematical.
=Sciatic Neuralgia.= This is described by Zundel as causing jerking and
lameness in the affected limb, sometimes aggravated and sometimes
improved by work and associated with muscular weakness or paresis.
Sciatica in man is, however, rarely a simple neuralgia, but partakes
rather of the nature of a neuritis, and there is no good reason for
supposing that the disease of this nerve in the lower animals is other
than an inflammatory condition.
Leclainche after consideration of the testimony adduced, is of the
opinion that we still lack absolute evidence of uncomplicated neuralgia
in the domestic animals.
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