case syphiloma cord cauda equinaâ von osler sir william (1 Ergebnisse)

Series: Journal of Nervous and Mental Disease August, 1889. Offprint. 23 cm. 9, [1] pp. Printed wrappers. Very good. 'Osler reports a case of syphiloma of the cord and cauda equina. Death from diffuse central myelitis. Clinical summary: Chronic alcoholism; history of syphilis. For nine months pains in the legs, particularly in the left, which wasted rapidly and presented vasomotor changes. Pains in the arms, especially the right; no wasting, and, on admission, arms of equal strength. About two months before death loss of control of bladder and rectum. Within the last month of life loss of power in the right arm, with pains; partial loss of power in the left arm, with marked inco-ordination; complete paralysis of the left leg; gradual loss of power in the right. Development of bed-sores. Arthritis in knees or ankles. Toward the close of life high fever, with delirium. Anatomical summary: Gumma in antero-lateral columns of cervical cord, opposite the right fourth anterior nerve-root. Gummata involving the third, fourth, and fifth anterior sacral nerve-roots, and the second and third posterior sacral roots on the left side. Ascending degeneration of the left posterior median column. Central myelitis. Partial atrophy of the sciatic nerves'. - Annual of the Universal Medical Sciences, volume 2. Golden & Roland 335. [HM].