Green's Encyclopedia and Dictionary of Medicine and Surgery Volume 9 (Paperback)

Green's Encyclopedia and Dictionary of Medicine and Surgery Volume 9 Book Description

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1908 Excerpt: ...is no anaesthesia, for sensation is at times present when motion is lost. Anaesthesia dolorosa in patches is not uncommon. (c) Reflexes.--The superficial ones are exaggerated, and so too are the deep, especially of the knee and ankle, but when degeneration has set in they are lost. (d) The Sphincters.--Incontinence of urine and faeces occur in severe cases. ( ) Trophic.--The affected muscles waste, and reaction of degeneration is more or less marked. Before wasting occurs, distinct spasm of muscle is found, notably if the disease is in the dorsal region. Acute bed-sores are not uncommon. 1 Disease of Nervous Syitem, 2nd edition, vol. i. p. 347. (/) Vaso-motor.--The limbs are often cold, and sometimes perspire persistently. (g) Special to Various Regions.--In the cervical region the pupil may be dilated or contracted, and sweating of one-half of the forehead may be marked. In the dorsal region the intercostal muscles are affected; nnd in the lumbar region the knee and ankle reflexes are lost. Prognosis.--A very large proportion of these cases recover under treatment by recumbency and without operation. The number is said to vary between 55 and 83 per cent, and some cases have had four attacks and many three attacks with a good recovery. Treatment.--The treatment is of two kinds, conservative and operative. The expectant or conservative plan of treatment is undoubtedly the best, and its prognosis is exceedingly good. It necessitates complete rest in bed, with extension of the spine, by weights applied to the legs and counter-extension of the shoulders and the neck, or by the use of the convex couch of Bradford and Lovett, or by means of a suspension couch; and the time needed for recovery varies from a few weeks to fifteen to eighteen months. Bed-sores ...

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