Two clinical lectures on dermato-neuroses, from a neurological stand-point : including cases of lesions of the median nerve, hemiatrophy facialis, vesicular eruptions, skin lesions in hysterical subjects, prurigo, chloasma, wrinkles, Raynaud's disease, acroparaesthesia and fugitive erythema / by Thomas D. Savill.

  • Savill, Thomas Dixon, 1856-1910.
Date:
[1898]
Catalogue details

Licence: Public Domain Mark

Credit: Two clinical lectures on dermato-neuroses, from a neurological stand-point : including cases of lesions of the median nerve, hemiatrophy facialis, vesicular eruptions, skin lesions in hysterical subjects, prurigo, chloasma, wrinkles, Raynaud's disease, acroparaesthesia and fugitive erythema / by Thomas D. Savill. 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.

    9/44 (page 7)
    days at the outset, but has had no pain ever since, and he has never had any vesicles.—i. e. he has throughout only manifested the symptoms of a destructive or paralytic lesion. The facial muscles are unaffected. The special senses and the other cranial nerves are also healthy. The palate and tongue appear normal. His only symptoms, as you can see for yourselves, are atrophy of the subcutaneous tissue and thinning, with a smooth glossy appearance of skin over the left side of the face, with complete loss of hair over the inner two-thirds of the left eyebrow and the anterior third of the left side of the scalp (Figs, i and 2). This, gentlemen, is evidently a paralytic lesion of the trunk of the fifth nerve; and see what a marked contrast it presents with the next case that I am going to show you, which is, I believe, an example of an irritative lesion of the same nerve. It is that of a woman set. 51, named M. J—, who three years ago was laid up with excruciating pain, which she locates very accurately in the region of the fifth nerve and its branches. I learn on good authority that it was also attended by a copious crop of herpes on the forehead, and severe inflarhmation of the left eye, which seems to have been of a most destructive nature, for the vitreous and cornea are opaque, and she is quite unable to see with that eye except light from darkness; in a word, she has had panophthalmitis in that eye. She has suffered from severe neuralgia on and off for the three years which have elapsed since then.