Functional nervous diseases of reflex origin / by Albert Rufus Baker.

  • Baker, Albert Rufus, 1858-
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Functional nervous diseases of reflex origin / by Albert Rufus Baker. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    He drew a comparison between the refraction of the eyes and equipoise of eye-muscles of choreic children and those of children not choreic, and showed that they were closely similar. He stated his belief that correction of the ocular diflSculties was often followed by disappearance of the cho- rea, which, however, was liable to return, es- pecially in the chorea months, if the child was exposed to the same environment which was present at the original onset. Dr. I^eartus Connor, of Detroit, Mich., said : In a careful study clinically of numerous cases during several years I have reached certain re- sults: (i) Most cases with heterophoria accom- panied by disturbances of the nervous system are relieved by a correction of the optical defects, plus a lowered state of the general constitution. By ^ch a course most persons were entirely re- lieved, the eyes remaining in so perfect equilib- rium as to warrant no further interference. (2) A very few cases were not so relieved and a ten- otomy performed. Partial tenotomies were un- successful, and a complete tenotomy was finally performed. (3) Occasional cases are relieved by the use of correcting prisms; but generally they are simply temporary expedients. (4) The recent discussions of this subject have placed in our hands a means for meeting the needs of certain cases more satisfactory than we previously pos- sessed. Dr. Kdward Jackson : The point that these conditions known as reflex neuroses are due to lack of control in the higher centres, is of suf- ficient importance to be emphasized. There are certain facts that emphasize it. In some cases, when no heterophoria is revealed by covering one eye, it still appears on using the diplopia test, indicating that the position of the eyes is thus