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
Motor disorders: paralysis, paresis, hemiplegia, crossed hemiplegia,
spinal hemiplegia, paraplegia, monoplegia, local palsy,
pseudo-paralysis, spasm,—tonic,—clonic, tremor, hemispasm, monospasm,
spasm of eyeball, spasm of head, paraplegic spasm, general
spasms—convulsions, local spasms. Incoördination. Staggering. Reflex
action. Morbid reflex: increased reflex, reflex tonic spasm.
It seems desirable to note specially some of the more prominent morbid
nervous phenomena and conditions, with lesions or other conditions which
cause them, before considering what are usually recognized as special
diseases.
MOTOR DISORDERS.
=Paralysis= (_Akinesis_) is loss of voluntary or involuntary muscular
movement through defective innervation.
=Paresis= is a paralysis which is partial in degree; power of motion is
impaired but not completely lost.
=Hemiplegia= is the loss of voluntary motion in many muscles on one side
of the face or body. In general hemiplegia, the following muscles are
usually excepted: muscles of the tongue, of mastication, of the eye, of
respiration, of the neck and trunk, generally and of the proximal part
of the limbs. The hind limbs are usually most affected, and muscles that
are most exclusively under the control of the will those dominated by
the cortical centres of the brain. When due to a clot on the brain or
degeneration it occurs on the side opposite to that occupied by the
clot, on account of the motor fibres crossing at the anterior pyramids
of the medulla. Hemianæsthesia is a rare attendant and when present is
often on the side opposite to the hemiplegia. Sensory fibres cross in
the spinal cord, and the lesion is probably spinal.
=Crossed Hemiplegia= is motor paralysis of certain cephalic nerves (3d,
7th, 5th, 6th, and 8th,) on the same side with the clot or lesion, and
of the muscles of the trunk on the other side. The cranial nerves
proceed to muscles on the same side as their origin, while filaments
going to the trunk through the spinal cord, cross in the pyramids
(motor), or spinal cord (sensory). In crossed hemiplegia, hemianæsthesia
is common with both forms of paralysis on one side.
=Spinal Hemiplegia= has the face and head sound (except sometimes the
iris), and half the body paralyzed on the side opposite to that on which
the spinal lesion (clot) exists. If anæsthesia exists it is on the side
opposite to the lesion and posterior to it—the sensory filaments
crossing just before leaving the cord.
=Paraplegia= is loss of voluntary power of one transverse half of the
body; usually the posterior, and affects the tail, and has coincident
anæsthesia, being due to a spinal lesion. Anal and vesical sphincters
may or may not be paralyzed according as the lesions implicate their
respective spinal centres or not. If there is neither anæsthesia nor
vesical paralysis the lesion may be cerebral, in the paracentral lobes
of both hemispheres (meso-vertix at the fissure of Rolando).
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