Studies in neurological diagnosis / by James J. Putnam and George A. Waterman.

  • Putnam, James Jackson, 1846-1918.
Date:
1902
Catalogue details

Licence: Public Domain Mark

Credit: Studies in neurological diagnosis / by James J. Putnam and George A. Waterman. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    characteristic sensations, when applied within an area which included the palmar and dorsal surfaces of the first two fingers and the thumb, the adjoining part of the hand, and the radial border of the forearm. These applications did, however, sometimes excite certain vague sensations, of thrilling character, which were often referred to parts of the hand still possessing sensibility. Over the rest of the hand and forearm the sensibility was better preserved, though impaired in all respects, but even the sensibility of the upper arm was defective in most places. The electrical examination showed the presence of R. D. throughout the paralyzed muscles. The patient remained under treatment for more than a year, in the course of which time the follow- ing changes occurred: The muscles supplied by the ulnar nerve, together with the deltoid, triceps, and shoulder-blade group, regained much strength, and at the same time the color of the two smaller fingers (ulnar area of skin) became nearly normal, while the others (median and radial areas) remained blue, the same blue color being present over the radial surface of the forearm. The muscles supplied by the median nerve remained paralyzed for a year and a half, since when there has been slight gain. The extensor muscles of the fingers have never regained their power, even up to the present date (1900). When the skin over the blue area was scratched, or touched with the wire brush connected with the faradic apparatus, fine red lines or spots would appear, and the redness thus excited would remain for several hours. VIII. An unmarried lady, twenty years old, and of good previous health, was exposed to a draft from an open window while riding in the train, in April. The next morning she found herself with a complete facial paralysis of the left side, both upper and lower areas being involved. There was no disease