The American Journal of Dental Science, Vol. XIX. No. 6. Oct. 1885Various
Science
The American Journal of Dental Science, Vol. XIX. No. 6. Oct. 1885
Various
Dentistry -- Periodicals
ALCOHOLIC PARALYSIS.--The immediate and transient effects of an
excessive quantity of alcohol upon the human nervous system, whether
they are manifested in the form of drunkenness, or of delirium tremens,
or of an acute attack of insanity, are well-known. Scarcely less
evident are the effects produced upon the nervous system by a less
excessive, but a more prolonged, abuse of alcoholic drinks. These
effects may be manifested either in a general failure of physical and
mental power, or in a form of disease closely resembling progressive
paralytic dementia, or in various forms of chronic insanity, or in
epilepsy, or in neuralgia, or in paralysis. In the acute form of
alcoholic poisoning, no change in the structure of the nervous system
has been found, except that the meninges in common with the internal
organs and the mucous membranes are the seat of a very decided
injection and slight exudation. In the chronic form of alcoholism, a
number of pathological changes have been discovered in the nervous
system, which, however, vary greatly in different cases.
Of late years the paralysis which results from the abuse of alcohol
has been accurately described by numerous observers, and the attempt
has been made to discover the lesion of the nervous system which is
associated with this form of paralysis. Two cases which are reported by
Dr. Henry Hun, of Albany, in the _American Journal of Medical Sciences_
for April, 1885, are typical examples of this disease, and contribute
to a better understanding of it.
Dr. Hun has collected the recorded cases of alcoholic paralysis, and
from their study he holds that we are justified in regarding it as a
special form of disease with the following symptoms: After a number
of cerebral and gastric disturbances due to the alcoholic poisoning,
the symptoms of the disease proper commence with neuralgic pains
and paræsthesiæ in the legs, which gradually extend to the upper
extremities, and which are accompanied at first by hyperæsthesia, later
by anæsthesia, and in very severe cases by retardation of conduction
of pain. Along with these symptoms appears a muscular weakness,
which steadily increases to an extreme degree of paralysis, and is
accompanied by rapid atrophy and by great sensitiveness of the muscles
to pressure and passive motion. Both the sensory and motor disturbances
are symmetrically distributed, and the paralysis attacks especially
the extensor muscles. In addition to these motor and sensory symptoms,
there is also a decided degree of ataxia. The tendon reflexes are
abolished and vaso-motor symptoms, such as ɶdema, congestion, etc., are
usually present. Symptoms of mental disturbance are always present in
the form of loss of memory and in transient delirium.
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