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

  • Ross, Marion J.
Date:
[1901]
Catalogue details

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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    Examination.—Intelligence good. Face.—No facial paralysis. Commencing cataracts in both eyes. Special Senses.—Sight.—Not tested. Hearing.—Watch heard only when pressed against right ear. Heard 2 inches from left. Taste.—Gone on right side. Smell.—Gone on right side. Upper Extremity has free voluntary movement. Radial and deltoid reflexes are well marked. Sensation is dulled to all stimuli, especially over the hand, but muscular sense appears perfect. Cold is appreciated more than heat. Trunk.—Sensation affected less than over arm. Lower Extremity has also free voluntary movement. Knee jerk is well marked, but there is no ankle clonus. Sensation is affected to about the same extent as in arm, and muscular sense is perfect. Diagnosis.—Left capsular haemorrhage involving sensory as well as motor path. The special senses here appear to be impaired, to a greater extent than general sensation. CASE VI. W. P., male, aet. 39. History.—About two years ago the patient drank very heavily for several months, and suffered from an attack of delirium tremens. On recovery he found his legs were weak, but he managed to walk with the aid of a stick. Gradually, however, he noticed a loss of power in his left arm and leg, and this was associated with a peculiar numb sensation all down the left side, and with occasional twitching of the fingers and toes, which, on these occasions, became quite blue and cold. lie has also suffered occasionally from vertigo and sees objects as if they were swinging in the air. No history of syphilis. Examination.—Patient is a very intelligent man, but is evidently nervous and has an anxious expression. Pace.—No paralysis. Sensation of touch, pain, and tempeia- ture are all markedly impaired, this being not quite limited by the middle line, but extending about half an inch on the right side of the forehead and chin. O