Lectures on the Diseases of the Nervous System: Delivered at La Salpêtrière

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H. C. Lea, 1879 - 271 sider
 

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Side 113 - The muscles of the face are motionless, there is even a remarkable fixity of look, and the features present a permanent expression of mournfulness, sometimes of stolidness or stupidity.
Side 112 - ... we occasionally find the rhythmical and involuntary oscillations of the different parts of the hand recalling the appearance of certain coordinated movements. Thus, in some patients, the thumb moves over the ringers, as when a pencil or paper-ball is rolled between them ; in others, the movements are more complicated and resemble what takes place in crumbling a piece of bread.
Side 154 - ... the upper extremity, but the contractures and paralyses are usually hardly so pronounced as in the lower extremities. A very characteristic symptom is tremor, a shaking tremor, which occurs only during voluntary movement, and ceases when the parts are at rest. In the words of M. Charcot, " the tremor manifests itself on the occasion of intentional movements of some extent ; it ceases to exist when the muscles are abandoned to complete repose.
Side 80 - This disorder generally shows itself at a determinate epoch of the ataxia, and its appearance coincides, so to speak, in many cases with the setting in of motor incoordination. Without any appreciable external cause, we may see, between one day and the next, the development of a general and often enormous tumefaction of the member, most commonly without any pain whatever, or any febrile reaction. At the end of a few days the general tumefaction disappears, but a more or less considerable swelling...
Side 182 - But the circumstances most commonly assigned as causes of this disease, by patients, appertain to the moral order — long-continued grief...
Side 89 - How are we to understand so rapid a development of the inflammatory lesions of the urinary passages after acute affections, spontaneous or traumatic, of the spinal cord ? Manifestly, the paralytic retention of the urine cannot here be pleaded, at least not as the sole, nor even as the predominant, pathogenic element.
Side 157 - This is peculiarly worthy of notice, especially if you remember that patches of sclerosis have been found, after death, occupying the whole thickness of the nerve trunks in the optic nerves, in cases, where during life, an enfeeblement of sight simply had been found.
Side 158 - The affected person speaks in a slow, drawling manner, and sometimes almost unintelligibly. It seems as if the tongue had become too thick, and the delivery recalls that of an individual suffering from incipient intoxication. A closer examination shows that the words are as if measured or scanned; there is a pause after every syllable, and the syllables themselves are pronounced slowly.
Side 228 - ... paresis, or contracture, on the same side as the ovarialgia ; if it is bilateral, these phenomena also become bilateral. Pressure upon the ovary brings out certain sensations which constitute the aura hysterica, but firm and systematic compression has frequently a decisive effect upon the hysterical convulsive attack, the intensity of which it can diminish, and even the cessation of which it may sometimes determine, though it has no effect upon the permanent symptoms of hysteria (Charcot).
Side 246 - I desire to call attention. Charcot has said that very marked decrease of faradic contractility ought to make us suppose that the spinal cord has been invaded, and that the existence of a spinal organic lesion of more or less gravity will be placed almost beyond doubt, if, under the influence of deep sleep induced by chloroform, rigidity of the members only gives way slowly, or even persists to any marked extent, or if with this the faradic reactions are greatly lessened.

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