On Some Forms of Paralysis from Peripheral Neuritis of Gouty, Alcoholic, Diphtheritic, and Other Origin - Softcover

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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.1886 Excerpt: ... LECTURE II. Multiple neuritis--Two cases with syphilitic history--Grainger Stewart's cases--Morbid anatomy--Sym-ptoms of multiple neuritis--Comparison with Kakke'--Alcoholic paralysis--Examples--Ataxic symptoms--Pains and hypersesthesia--Degenerative changes in peripheral nerves the immediate cause of paralysis--Lancereaux's investigations--Pains may be absent--State of the knee-phenomenon--Nystagmus--Dr. Churton's case--The peripheral neuro-tabes of Deje-. rine probably of alcoholic origin--In alcoholic paralysis lower extremities most but not exclusively affected--The symptom "dropped feet" should always suggest inquiry as to habits of intemperance--So "wristdrop " suggests inquiry into possible exposure to lead--Not in alcoholic paralysis alone is found tendency to preponderating affection of the lower extremities--Seen in multiple neuritis from other causes--Also in Kakke--A paraplegic form of neuritis from unknown cause--Examples. In 1874 I brought before the Clinical Society a case which I have since had reason to think must have belonged to the class of multiple neuritis. I recognised at the time that the symptoms must, from their anatomical distribution, depend upon altered conduction in nervefibres, and not upon central changes, but was disposed to refer these alterations of conductivity to pressure upon the roots of nerves by inflammatory changes in the membranes. At that time the idea that paralysis of a more or less universal kind could depend upon lesion of the periphery of the nerve-trunks, the central portions being undamaged, was not entertained. The case is so important that I think it well to give a brief account of it, as well as of another, manifestly of similar character, which came before me in 1879. Dr. Ross, in referring to these cas...

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