Select clinical cases : including cases of labio-glosso-laryngeal paralysis, exophthalmic goitre, arterial pyaemia, general chronic arteritis, saturnine gout / by Samuel Wilks.

  • Wilks, Samuel, Sir, 1824-1911.
Date:
[1870]
Catalogue details

Licence: Public Domain Mark

Credit: Select clinical cases : including cases of labio-glosso-laryngeal paralysis, exophthalmic goitre, arterial pyaemia, general chronic arteritis, saturnine gout / by Samuel Wilks. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    August 21st.—He was free from pain. Ordered Mist. Quinaj ter die. 22ud.—The salivary glands were much excited, and fluid was constantly secreted. 26th.—Saliva was much less in quantity, and the patient felt better. 28th to 30th.—He was improving. September 2nd.—He was stronger, though he did not feel able to walk without a stick. . His throat was not sore, but felt somewhat constricted. His speech was somewhat clearer. 7th to 12th.—He had more power in his legs, and was able to get up and down stairs with the aid of a stick. 23rd.— He was able to retain his saliva, but there was very little improvement in his speech. October 2nd.—There was very little change. His face had more expression in it, he was free from numbness, and his tactile sensibility was perfect. 7th to 26th.—There was very little change. His vocal cords were seen, by the aid of the laryngoscope, to move freely, both during respiration and when he made an effort to utter a sound; but when he tried to cough the vocal cords scarcely moved at all, and he was quite unable to effect his purpose, a slight hacking movement of expiration being all he could accomplish. This was probably due to a loss of co-ordination, as the vocal cords could be moved during speech. 29th to December 12th.—There was very little improve- ment, though the patient said he felt better, and the lower portion of his face was less paralysed. December 14th to 26th.—He was a little better, able to speak with a little more clearness, and to swallow with a little less difficulty. He was readmitted at the beginning of the following year, and remained in about two months, during which time his condition somewhat improved. He could walk about the ward, though dragging his legs, and had some more power in his arms. As regards his speech, he made a great contortion ot his face in order to produce a word ; but it was more intel- ligible than heretofore. On examination of the larynx with the speculum the right vocal cord moved slightly, but the left not at all. He seemed to have power over the soft palate to raise it.