RF2AE8HB6–Forms of Cerebral Palsy illustrated in medical diagram.
RM2AM0B11–Medical and surgical therapy . ^M 1 ^ 1m^^^ [»!^ m^ffll h :• :^(>-vtS|^H yi/ ^1. A, B, C.—False sciatica (right side) uf several months duration. A, B, C—The same patient four days later, cured. A-F.—Functional monoplegia (right), folloWing sciatica. i Plate XIII.
RF2A9CH9K–Forms of Cerebral Palsy illustrated in medical diagram.
RF2CD227C–Types of Paralysis - Illustration as EPS 10 File
RM2AN5E5P–Nervous and mental diseases . of recurrence. When the paralytic state is established,its management is the same as that laid down in the previous chapter,and for the terminal monoplegia or hemiplegia the indications are likewiseidentical. The treatment of aphasias and the development of the oppo-site-sided speech-centers have been described in the chapter on Aphasia. DISEASES OF THE CEREBRAL VEINS AND SINUSES. 231 CHAPTER VIII.DISEASES OF THE CEREBRAL VEINS AND SINUSES* Anatomical Considerations.—The blood entering the cranium bythe internal carotids and vertebrals after irrigating the encepha
RF2D4WPXD–Types of Paralysis - Illustration as EPS 10 File
RM2AKK335–A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . entire side (hemiplegia), but a paralysis of only a special groupof muscles, as of the hand, forearm or leg (monoplegia), and thereis quite frequently early rigidity of the same muscles. Jacksonianepilepsy, or convulsive action of a single group of muscles, as ofa thumb, occurring alone or as a prelude to a general epileptiformconvulsion, gives indication that there is a lesion of that particularcortical center and points to the
RF2D4WT5B–Types of Paralysis - Illustration as EPS 10 File
RM2AWWK08–Nervous and mental diseases . of recurrence. When the paralytic state is established,its management is the same as that laid down in the previous chapter,and for the terminal monoplegia or hemiplegia the indications are likewiseidentical. The treatment of aphasias and the development of the oppo-site-sided speech-centers have been described in the chapter on Aphasia. DISEASES OF THE CEREBRAL VEINS AXE SIXUSES. 231 CHAPTER VIII.DISEASES OF THE CEREBRAL VEINS AND SINUSES* Anatomical Considerations.—The blood entering the cranium bythe internal carotids and vertebrals after irrigating the encepha
RM2AG9W7A–. A treatise on the nervous diseases of children : for physicians and students. ental condi-tion is that of complete idiocy. It wouldbe a very remarkable instance indeed ifan acute cerebral process had come onat exactly the same time as the chicken-pox. The Form of Palsy.—Hemiplegia,diplegia, and paraplegia are the usualforms of cerebral paralysis in children.Monoplegia, which we might expect ontheoretical grounds, is, as a matter of fact,extremely rare. (Figs. 138-141.) The leg evidently recovers very much more quickly than the arm, as inadult hemiplegia, and for this reason it is a very grea
RM2ANDHTF–A text-book of practical therapeutics . fill with mucus that there is danger ofthe patient drowning in his own secretions. A full dose of atropine,which checks secretion, given hypodermically, is useful at such times,and may be used beforehand as a prophylactic. Sometimes after an anesthetic is given the patient is found to havea monoplegia. This is not due to the anesthetic, but to pressureexercised upon the nerve supplying the part during the anesthesia.It is a true pressure-palsy. Administration.—In giving an anesthetic it is of the greatest import-ance that the patient shall not be frighte
RM2AFX7KE–. A treatise on the nervous diseases of children, for physicians and students. ental condi-tion is that of complete idiocy. It wouldbe a very remarkable instance indeed ifan acute cerebral process had come onat exactly the same time as the chicken-pox. The Form of Palsy.—Hemiplegia,diplegia, and paraplegia are the usualforms of cerebral paralysis in children.Monoplegia, which we might expect ontheoretical grounds, is, as a matter of fact,extremely rare. (Figs. 105-108.) The leg evidently recovers very much more quickly than the arm, as inadult hemiplegia, and for this reason it is a very great
RM2AKAXRW–Surgical anatomy : a treatise on human anatomy in its application to the practice of medicine and surgery . of cases. The returnof function occurs through the compensatory action of the neighboring cells. Abolition of the function of certain groups of centers in the motor area of thecortex cerebri results in one or other of the following varieties of paralysis : If ofthe arm and leg, it is called brachio-crural paralysis, or hemiplegia ; if of the legalone, crural monoplegia ; if of the arm alone, brachial monoplegia; and if ofthe face alone, facial monoplegia. Facial monoplegia seldom occurs
RM2AWD1GB–Human anatomy, including structure and development and practical considerations . lesions of the motor zonemay therefore produce a paralysis limited to one part controlled by the affected por-tion of the cortex, as of the face, arm or leg (monoplegia). The lesion is muchmore likely to involve two adjacent areas, as of the face and arm, or of the armand leg, giving rise to a combined paralysis ; but no single lesion, unless it werecrescentic in form, could involve at the same time the leg and face areas withoutincluding the intervening arm area. Within each of the larger areas a more specialize
RM2AKNCJY–A treatise on the principles and practice of medicine . LOCALIZATION 751 the finest selection, as of the thumb alone, fingers or wrist, is noted.Sensory disturbance is common (v. i.). Pure facial monoplegia isunknown, although a faciolingual form with motor aphasia is observed.Associated monoplegia is more usual, most commonly paralysis or paresis(partial paralysis) of the arm and face (brachiofacial monoplegia, althoughstrictly not a monoplegia). Next in frequency is the arm-and-leg type(brachiocrural) in which two contiguous centres are involved. A leg-and-face type never occurs, because the
RM2AG66C8–. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Fig. 227.—Cerebral palsy, left side hemi-plegic, dating from early infancy. Fii;. 228.—CerebraTpalsy, left side hemi-plegic, dating from^^later childhood. in the hemiplegic form; fully in half the cases (Konig). It is not verymarked, certainly not as much as the paralysis of the extremities. Inexceptional cases the reverse is true. Hemiplegia.—The hemiplegia may present mixed forms of paralysis.The arm and forearm are more affected than the lower extremity.There may be apparent monoplegia
RM2AFP44F–. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. uite a remarkable mental integrity.The motor sjmaptoms are oftenprominent; there is hemiplegia, di-plegia, or monoplegia; the musclesare usually spastic, even contrac-tured, and the deep reflexes are ex-aggerated. The eyes may be deflecteddownward, and there may be variousforms of oculomotor palsy, with nys-tagmus. Other s^Tnptoms more orless com.mon are cona.ilsions, pain, asshown by the hydrocephalic cryODut this is more common in acutetuberculous meningitis), blindness,and incon
RM2AKA37J–A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . dness, epilepsies, etc. Encephahtis, due to certain of the infections men-tioned, is a not infreciuent cause for more or lesslocalized forms of cerebral atrophy. Clinically theyshow themselves in later life as various types offeeble-mindedness or idiocy; in epileptiform conTil-sions, or possibly congenital defects of speech, informs of monoplegia, diplegia, pseudobulbar palsy,etc. Here the atropliy of the brain structures may bemore or less localized, and is condi
RM2ANHAFC–Southern medicine and surgery [serial] . Case III—W. M. Case HI—W. M. Spastic hemiplegia, Rt. Note the adductor and Following neurectomy of the anterior and pos- flexor spasm at the knee and the spasticityand contracture of the heel cord. terior obturator, sciatic branches to the ham-strings, and the branches of the internalpopliteal to the gastrocnemius soleus. Theheel cord was lengthened and the foot stabil-ized.. Case VI.—E. W. Case VI.—E. W. Spastic Monoplegia. Case of chronic spasm of After neurectomy ot a portion of the bundlesthe flexors of the fingers and pronators of in the Median ner
RM2AX3WCH–A treatise on the diseases of the nervous system . nstance, of the same group of muscles may be theresult of lesions occupying very different points in the motor zone. Tothis view the clinical researches of M. Bourdon lend support. In re-porting a case of brachial monoplegia of cortical origin occurring inhis own experience, this author cites fourteen other cases in whichthere was a thorough post-mortem examination. From the compari-son of the precise seat occupied by the lesion in these different cases,M. Bourdon has arrived at the conclusion that brachial monoplegia mayresult from lesions of
RM2AFT3WJ–. Medical diagnosis for the student and practitioner. MEDULLADECUSSATION « ^. Fig. 605.—Explains symp-toms caused by lesions affect-ing the motor tract in the brainand cord. Lesion at a, b, orc:—monoplegia of oppositeside. Lesion at d:—hemi-plegia of opposite side. Lesionat e:—oculo-motor paralysisof same side, hemiplegia ofopposite side. Lesion at f:—facial and abducens paralysisof same side, hemiplegia ofopposite side. Lesion of (1)anterionhorns:—causes flaccidparalysis and lost knee-jerks.Lesion at 2:—spastic paralysisof muscles below lesion ifpyramidal tracts only are in-volved or the lesi
RM2AM0AHX–Medical and surgical therapy . A, B, C.—False sciatica (right side) uf several months duration. A, B, C—The same patient four days later, cured. A-F.—Functional monoplegia (right), folloWing sciatica. i Plate XIII.. A-I.—Prolonged claudication due to false sciatica (left). THE TICS 777 must be considered as a functional, hystericalaffection. These few points should always be borne in mindby the physician called to examine a psychoneuroticpatient. They will help to reveal organic affectionswith tremor which, though rare in the neurology ofwar, may be met with. One may discover cases offamily tr
RM2CRKB98–. A practical treatise on medical diagnosis for students and physicians . lf or the nervous influencecontrolling it; or false, if it is due merely to an inhibition of the mus-cular function produced by a disease of the muscle or joint that causespain upon movement. Paralysis is classified, according to the part affected, into monoplegia,when one extremity is involved; hemiplegia, when half of the body isinvolved ; paraplegia, when two symmetrical extremities are involved(this term is usually restricted clinically to paralysis of both legs); para-plegia cruralis, if the legs are affected; parap
RM2CRT3FC–. A practical treatise on medical diagnosis for students and physicians . self or the nervous influencecontrolling it; or false, if it is due merely to an inhibition of the mus-cular function produced by a disease of the muscle or joint that causespain upon movement. Paralysis is classified, according to the part affected, into monoplegia,when one extremity is involved ; hemiplegia, when half of the body isinvolved ; paraplegia, when two symmetrical extremities are involved(this term is usually restricted clinically to paralysis of both legs); para-plegia cruralis, if the legs are affected; pa
RM2CDAYH7–. The practice of medicine; a text-book for practitioners and students, with special reference to diagnosis and treatment . an investigation we discover the presence of a GENERAL SYMPTOMATOLOGY 839 complete paralysis or total loss of voluntary motion, and paresis or simpleweakening of such power. By a monoplegia is meant an isolated paralysis of one part of the body,as of an arm or a leg. By a hemiplegia is meant a paralysis of the entirelateral half of the body, including half of the face, one arm, and one leg,also known as unilateral paralysis. By a paraplegia is meant a simultaneousparalysi
RM2CRK78D–. A practical treatise on medical diagnosis for students and physicians . (From Oppenheim.) (From Oppenheim.) usually cause monoplegia ; if the lesion is near the internal capsule, hemi-plegia is more common. Lesions in the internal capsule almost invariablycause hemiplegia. If the knee and anterior portion of the posterior limbare involved, hemiplegia without sensory changes results. When theposterior third of the posterior limb is involved, sensory disturbances arepresent, and there is likely to be hemianopsia. Lesions in the anteriorportion of the anterior limb produce no recognizable sympt
RM2CDK68X–. A text-book of practical therapeutics, with especial reference to the application of remedial measures to disease and their employment upon a rational basis . thatthere is danger of the patient drowningin his own secretions. A full dose of atro-pine, which checks secretion, given hypo-dermically is useful at such times. Sometimes after an anaesthetic is giventhe patient is found to have a monoplegia.This is not due to the anaesthetic, but topressure exercised upon the nerve supplying the part during the opera-tion. It is a true pressure-palsy. Therapeutics.—Ether is used chiefly as an anaest
RM2CD87XP–. Medical and surgical therapy . )crsi.st for weeks. Monoplegialimited to the upper limb seems to be remarkablymore frequent than crural monoplegia. At the firstonset this monoplegia is flaccid, and passes into. Fig. 9.—Usual seat of the wound in brachial monoplegiasfrom a cortical lesion. contracture after a few weeks, which is generally thetime when the patient is examined by the neurologist.It is important to observe that this monoplegia isslight, and much less marked tlian the completehemiplegia to be described later on. ]yof:xf)s OF the holaxdic abea (i3 Motor disorders.—Total loss of the
RM2CD87JW–. Medical and surgical therapy . Fig. 9.—Usual seat of the wound in brachial monoplegiasfrom a cortical lesion. contracture after a few weeks, which is generally thetime when the patient is examined by the neurologist.It is important to observe that this monoplegia isslight, and much less marked tlian the completehemiplegia to be described later on. ]yof:xf)s OF the holaxdic abea (i3 Motor disorders.—Total loss of the motility of thelimb is rarely observed. The power of moving theshoulder is nearly always retained, and, to a certainextent, the patient is able to raise his arm and moveit slight
RM2CE2KWR–. Diseases of infancy and childhood . rior boundary of the fourth ventricle known asthe foramen Magendie.^ Blood-vessels of the pia mater are so delicate that blood pressure, trau-matism, etc., may cause haemorrhage into the subarachnoid space, resultingin monoplegia, hsemiplegia, or diplegia. Growth and Development of the Brain.—From birth until the seventhyear is reached the brain grows very rapidly; after the seventh year thegrowth is slow. Weight of the Brain.—The weight of the brain of the new-born infantis one-third that of the adult. In male and female children it is approxi-mately the
RM2CRT2NB–. A practical treatise on medical diagnosis for students and physicians . (From Oppenheim.) (From Oppenheim.) usually cause monoplegia ; if the lesion is near the internal capsule, hemi-plegia* is more common. Lesions in the internal capsule almost invariablycause hemiplegia. If the knee and anterior portion of the posterior limbare involved, hemiplegia without sensory changes results. When theposterior third of the posterior limb is involved, sensory disturbances arepresent, and there is likely to be hemianopsia. Lesions in the anteriorportion of the anterior limb produce no recognizable symp
RM2CD8TA5–. Physical diagnosis . individualmuscles for loss or impairment ofpower. In general, a knowledgeof the origins and attachments ofmuscles enables us to work out forourselves a series of tests that willbring any desired group into con-traction. It is convenient to classparalyses according to their originas follows: (a) Brain paralysis: usuallyhemiplegia (arm and leg on sameside, with or without the face). (b) Cord paralysis: usually par-aplegia (both legs, rarely both arms)or monoplegia (one extremity). (c) Cranial nerve paralysis:usually one or more eye muscles. (d) Peripheral nerve paralysis:s
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