The sensory phenomena associated with hemiplegia, as illustrated by twenty-seven cases / by Marion J. Ross, M.D.

  • Ross, Marion J.
Date:
[1901]
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Licence: In copyright

Credit: The sensory phenomena associated with hemiplegia, as illustrated by twenty-seven cases / by Marion J. Ross, M.D. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    and legs. Urine contains moderate amount of albumen. Family History.—Grandfather and grandmother both died of apoplexy. Examination.—Intelligence very good. Face.—No obvious facial paralysis. Sensation is defective all over the right side. Special Senses.—Sight.—Amblyopia distinctly present in the right eye, evidenced by diminished visual acuity, contracted field of vision, and altered perception of colour (bright red is seen as a dirty brownish colour). Hearing.—Entirely gone in right ear. Watch heard at 1 inch from left ear. Taste.— Absent over right side of tongue. Smell.—Absent on right side. Upper Extremity lias no voluntary movement except a slight action of the deltoid, liigidity is very marked and radial reflex is much exaggerated. Sensation.—Tactile and thermal senses are lost over hand, and defective over arm. Painful sensation is present, but impaired over arm, and especially over hand. Muscular sense is gone. Trunk.—Sensation is affected to about the same extent as over arm. Lower Extremity is also very rigid. Ivnee jerks are well marked, and a slight ankle clonus is present on both sides. Sensation.—Entirely gone to all stimuli over foot. Much diminished over leg and thigh. Diagnosis.—Capsular haemorrhage involving extensively both motor and sensory paths—probably secondary to high arterial tension and arterial degeneration following nephritis. Both general and special sensations are markedly involved. The absence of aphasia is remarkable. CASE V. G. P., female, aet. 67. History.—In April, 1900, the patient awoke one morning and found she could not move her right arm or leg. Her face and speech were not affected, and she did not lose conscious- ness. Her leg improved first, and she was able to get about, but could not use her arm much. Personal and Family History.—Unimportant.