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.

    8/50 (page 276)
    Face.—No facial paralysis. Commencing cataracts in both eyes. Sensation appears perfect to all stimuli. Special Senses.—Sight cannot be tested. Hearing.—Quite lost on right side. Watch heard when laid against left ear. Taste.—Very markedly diminished on right side. Smell.—Gone on right side. Upper Extremity.—Is not obviously affected, not being held in any fixed position, and retaining full range of movement. There is no rigidity; but the grasp is inferior to that of the left hand. Sensation is diminished slightly to all forms of stimuli, though localization is perfect. The patient occasion- ally does not know which finger is moved, and sometimes fails to appreciate a very light touch. This is most marked in the hand and forearm. Above that sensation is almost perfect. Trunk.—Sensation somewhat dulled all over right side. Loiver Extremity.—The leg lies extended in bed, but can be drawn up and the knee flexed, though the ankle and toes cannot be voluntarily moved. The leg feels rigid, ankle clonus is easily obtained, and the knee jerks are exaggerated. Sensa- tion.—Tactile sensation is much diminished, especially over the outer side of the leg and the dorsum of the foot. Thermal sense is also deficient, as regards the cold tube, though the hot is almost invariably recognized. Painful sensation is some- what dulled, though not to the same extent as the others. Muscular sense is affected in so far as the patient does not know which toe was moved, and cannot differentiate between different weights laid on his foot and leg. Diagnosis.—Left capsular haemorrhage, involving both motor and sensory paths in the capsule ; secondary descending de- generation. General sensation is impaired, and special senses are also affected. CASE III. A. C., female, aet. 67. History.—Five years ago the patient had a sudden attack of headache and vomiting, followed by paralysis of the right arm and leg. Tier speech was mumbling, but there was no aphasia. She kept her bed for about a week, and then the leg recovered sufficiently to enable her to get about. The