This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1899 Excerpt: ...spasmodic action of sphincter and detrusor. Rigidity and spasticity in the legs soon develop, and the gait shows them in the dragging toes, adducted knees, and uncertain steps. Knee-jerks and rectus-and ankle-clonus are commonlv well marked and muscular strength is more or less reduced. Spasticity and a lack of ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1899 Excerpt: ...spasmodic action of sphincter and detrusor. Rigidity and spasticity in the legs soon develop, and the gait shows them in the dragging toes, adducted knees, and uncertain steps. Knee-jerks and rectus-and ankle-clonus are commonlv well marked and muscular strength is more or less reduced. Spasticity and a lack of muscular strength are especially insisted upon by Erb. Sensory disturbances are slight or entirely absent, and the disease is very slowly progressive or inclined to be stationary or to even improve under treatment for syphilis. It seldom reaches a stage of complete helplessness. Often the upper extremities are affected in a less degree, and pupillary symptoms are not uncommon. In this outline it is easy to see the symptoms of posterolateral sclerosis or ataxic paraplegia, or the combined scleroses (sec p. 421). The condition may also arise secondarily from a nieningomyelitis, and it is clearly due to vascular disturbance in the posterior arterial cord-field, with the ataxia, spasticity, and paraplegia that mark such lesions. Diagnosis.--The diagnosis of spinal syphilis is frequently of the greatest difficulty. Unlike cerebral syphilis, it has not a characteristic premonitory stage. The nocturnal ischialgia and the advance and retreat of the spinal symptoms have some significance, but a history or the evidence of syphilitic infection has more weight and the presence of encephalic disease has most of all. This last, as already frequently stated, rarely defaults. In the combined sclerosis we must exclude tabes, which can usually be done by a tap on the knee and an examination for objective signs. Prognosis.--The outlook in focal myelitis is the same as in that lesion from other causes than syphilis, and depends ujxtn the amount of damage to the cross-se...
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Add this copy of Nervous and Mental Diseases to cart. $27.50, good condition, Sold by P Peterson Bookseller rated 5.0 out of 5 stars, ships from Osseo, WI, UNITED STATES, published 1921 by W. B. Saunders Company.
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Seller's Description:
Good. No Jacket. Ex-Library. 8vo-over 7¾"-9¾" tall. Brown cloth binding with gold print on the spine. In addition to the normal library markings and attachments, there are a few stray marks in the text. The front hinge is cracked. The cover has scuffing and light corner and spine end wear. Ninth Edition, Thoroughly Revised, 1921.
Add this copy of Nervous and Mental Diseases to cart. $44.00, fair condition, Sold by Xerxes Books rated 5.0 out of 5 stars, ships from Glen Head, NY, UNITED STATES.
