Journal de Psychologieстатья из журнала
Аннотация: PERISCOPE15. Tabes, Spinal Cyst.-i.A man of twenty-seven had had syphilis at the age of twenty-one.Later he developed attacks of continuous vomiting with hyperacidity, in consequence of which he lost weight.He had Argyll-Robertson pupils, diminished reflexes; some delay in sensation in the soles of the feet, and a small quantity of intensely acid fluid was always found in the stomach.Later he developed ataxia with pains in the arms, legs and back.The case is one of precocious tabes with gastric crises.2. A boy of sixteen developed pain in the back.Later there was stiff¬ ness of the legs with continuous cramps.There was a spastic condition of the legs with patellar clonus and Babinski reflex.The cremaster, and later, the abdominal reflex were absent.There was loss of sensation in both legs; voluntary micturition was impossible, and a diagnosis was made of extramedullary tumor of the spinal cord.Lumbar puncture showed diminished tension of the cerebrospinal fluid.The character of the fluid did not indicate inflammatory change.An operation was performed, the fifth, sixth and seventh vertebral arches being removed, and a cyst was found resting upon the posterior surface of the dura.This was removed entirely.The patient had a brief attack of meningitis following the opera¬ tion, and then cystitis, but ultimately made a perfect recovery.The cyst appeared to be composed merely of connective tissue.3. A man of thirty-two, at the age of nineteen, had been stabbed in the back.Immediately afterward he developed Brown-Sequard syndrome;, the right leg was paralyzed, and the left leg without sensation.He im¬ proved until there was only slight disturbance of sensation in the left leg and some stiffness in the right leg.When examined thirteen years after the injury it was found that the localization sense in the left leg was very poor.There was also loss of the deeper sensibility and the sense of posi¬ tion in the right leg, not including, however, the hip joint.The long persistence of the sensory disturbance is the interesting feature in this case.
Год издания: 1906
Авторы: NULL AUTHOR_ID
Издательство: Lippincott Williams & Wilkins
Источник: The Journal of Nervous and Mental Disease
Другие ссылки: The Journal of Nervous and Mental Disease (HTML)
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Zenodo (CERN European Organization for Nuclear Research) (PDF)
Zenodo (CERN European Organization for Nuclear Research) (HTML)
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Том: 33
Выпуск: 7
Страницы: 476–479