A manual of the practice of medicine / by George Roe Lockwood.

  • Lockwood, George Roe.
Date:
1901
Catalogue details

Licence: Public Domain Mark

Credit: A manual of the practice of medicine / by George Roe Lockwood. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    —The pain is felt in one or more branches of the nerve, the ophthahiiic division being most frequently affected. Hyper- aesthesia of the skin and of the mucous membranes is com- mon, and vaso-motor phenomena are not infrcqucnth' pres- ent—flushing, sweating, salivation, increased nasal discharge, and lachrj-mation. There may be trophic changes—ery- thema, induration of the skin, loss of hair or local grayness. In severe cases there may be an associated spasm of the facial muscles—the tic convulsif Tender points corre- spond to the supraorbital, infraorbital, and mental foramina, less frequently to the occipital protuberance and the upper cervical spine. Trifacial neuralgia is frequently of reflex origin. Ccrvico-occipitalNeuralgia.—The pain, which is usually dull and more or less constant, is localized over the back of the neck and the head, extending forward as far as the parietal eminences and the ear. There is frequenth' hj-pereesthesia of the scalp. The most important tender point is located mid- way between the mastoid process and the spine, where the great occipital nerve becomes superficial. Exposure to cold and cervical caries are the most frequent causes of this form of neuralgia. Cervico-bracJiial neuralgia, which involves the sensory nerves of the brachial plexus, is usually most intense in the axilla or along the course of the ulnar nerve. When the circumflex nerve is involved the pain is in the deltoid. The pain may be so increased by movement as to render the arm helpless. The most common tender points are the axillary, the circumflex at the posterior border of the del- toid, the superior ulnar behind the elbow, and the inferior ulnar in front of the wrist. Cervico-brachial neuralgia more frequently than any other form is the result of injury. Some severe forms are evidences of an occupation-neurosis. Intercostal neuralgia is very common in hysterica:l and anaemic women. Pain is felt along the intercostal nerves in aneurysm, caries, and pleurisy. There is usually a dull, constant pain, with acute stabbing exacerbations. Painful points are detected beside the vertebra, under the angle of the scapula, and under the breast. Pleurodynia differs