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Studies from the Rockefeller Institute for Medical Research Volume 16

Studies from the Rockefeller Institute for Medical Research Volume 16


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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. 1913 Excerpt: ...rare. Pathologically, as we have seen, the spinal and bulbar paralyses have the same basis. Clinically, too, though they may present quite different pictures, it is impossible to separate them, as one type merges gradually into the other. The greater number of cases form the intermediate type with both spinal and bulbar paralyses. In the Swedish epidemic of 1905, in which there were 685 cases, Wickman saw forty-two instances of combined spinal and bulbar paralysis. In the series of seventy-one cases which we have observed in the hospital there were, excluding the fatal cases, twelve of combined paralysis. The fact that our figures are proportionately nearly three times as large as Wickman's probably depends on the possibility of closer observation afforded in a hospital. Many of the cranial nerve paralyses were comparatively slight and transient, so that constant watching of the children was necessary for their detection. It was quite noticeable that the bulbar paralyses occurring in association with spinal paralyses were much less severe and less likely to be permanent than when they occurred alone. As has been the experience of other clinicians, we have found the facial nerve most often affected. A facial paralysis occurred in eight of the twelve cases with both cord and bulb lesions, but in almost all it was slight and disappeared quickly. In three of the four cases of purely bulbar paralysis, facial paralysis was present and improved very slowly. Either the whole facial nerve or one branch may be affected (figures 20, 21, and 22). Ocular palsies were present four times in the hospital cases. In agreement with the findings of Wickman and Muller, we have found an abducens paralysis to be the commonest ocular palsy. Paralysis of the ocular muscles was some...


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Product Details
  • ISBN-13: 9781130347241
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 194
  • Spine Width: 10 mm
  • Width: 189 mm
  • ISBN-10: 1130347249
  • Publisher Date: 01 Mar 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 354 gr


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