Injuries of nerves and their consequences - Reflex Sympathetic ...

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146 INJURIES OF NERVES. ralysis of right arm ; early recovery of left arm ; more remote and nearly complete recovery of right arm. Case 23.— J. I). Flesh wound of right thigh, without injury of large nerves; complete paralysis of all four limbs ; left arm recovered quickly the other limbs ; slowly ; linal Case 24.— W. W. development of myelitis. Wound of right thigh, with probable injury to sciatic nerve; partial palsy of right leg; reflex paralysis of right arm, which recovered rapidly. Case 25.— A sergeant, shot through the right testicle. He fell, without pain, except in the back, and soon became senseless. Partial loss of power in right foot ; no loss of sensibility. Case 26.— D. K. Gunshot wound of right thigh ; direct lesions of crural nerves; loss of motion and sensation; reflex paralysis of right arm as to motion. In two remaining cases, wounds of one leg seemed to the patient to be truly in the other; and in one there was a space of anaesthetic skin on the uninjured side, symmetrically related to the site of the wound,* Other but more doubtful cases of reflex paralysis have been seen by me, but these I have hesitated to put on record. It will be observed, also, that of the twelve cases here given in abstract, only six involved injury to large nerve trunks; and in a seventh, all the nerves of an important organ, the testicle, must have been instantly destroyed. * In Case IV., Hutchinson's Series, p. 313, the median and ulnar nerves being injured, there was pain in the unhurt hand. Pirogoff, p. 884, has a similar instance from injurj^ to the right brachial plexus.
CHAPTER VII. REMOTE SYMPTOMS. Tetanus— chorea. — AYe have thus disposed of the early symptoms, local and general, which occur when a nerve trunk is wounded. The reunion and regeneration of the nerves have been already described ; and for the rest, wounds involving large nerves heal as do others, and involve no greater constitutional dangers. The local changes in motion, feeling, and nutrition are what most interest us in these wounds, and which, indeed, continue to do so lonj^ after the wound has been healed. The only constitutional conditions to which they may give rise during this process, or soon afterwards, are tetanus and chorea. There is a prevalent belief that tetanus is more apt to arise when large nerves are slightly hurt than on other occasions; but although there are on record many cases where this terrible malady has followed the inclusion of nerves in ligatures, in the mass of tetanic histories the causal irritation has arisen in the extreme distribution of nerves, and where there has been no proof of precedent injury to large trunks. Were it otherwise, I must more often have seen tetanus, whereas in two hundred recorded instances of wounds of great nerves which passed under my ej^e during the war, not a single case of lock-jaw was seen, although in perhaps one-half the injuries were recent, and we actually witnessed a part of the process of healing. In fact, the tendency towards irritation, resulting in spasm, seems to increase as the (147)
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6/6.. 67 Af^e3 ^tbrarg of the 2lor0
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IMh u Entered, according to Act of
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to Dr. Tyson. S. WEIR MITCHELL. PEE
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Vin CONTENTS. Diagnosis and Prognos
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10 INJURIES OF NERVES. This hospita
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12 INJURIES OF NERVES. organs invol
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14 INJURIES OF NERVES. ganglion and
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16 INJURIES OF NERVES. geneous, yet
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18 INJURIES OF NERVES. muscle would
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20 INJURIES OF NERVES. are generall
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1 22 INJURIES OF NERVES. the termin
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24 INJURIES OF NERVES. highest leve
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26 INJURIES OF NERVES. nerve contai
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28 INJURIES OF NERVES. reptiles and
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CHAPTER III. NEURO-PHYSIOLOGY. Vari
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32 INJURIES OF NERVES. results of n
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34 INJURIES OF NERVES. each of thes
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36 • INJURIES OF NERVES. nerves,
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38 INJURIES OF NERVES. sometimes ab
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40 INJURIES OF NERVES. study of thi
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42 INJURIES OF NERVES. The experime
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44 INJURIES OF NERVES. now we remem
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46 INJURIES OF NERVES. evidence in
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48 INJURIES OF NERVES. iologist. No
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50 INJURIES OF NERVES. soliitlous.
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52 INJURIES OF NERVES. states by ch
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54 INJURIES OF NERVES. purpose of c
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CHAPTER IV. PHYSIOLOGICAL PATHOLOGY
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58 INJURIES OF NERVES. visible vess
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60 INJURIES OF NERVES. palm, and th
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62 INJURIES OF NERVES. track half-w
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64 INJURIES OF NERVES. antique Fren
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66 INJURIES OF NERVES. foot, there
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68 INJURIES OF NERVES. very often d
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70 INJURIES OF NERVES. connective s
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72 INJURIES OF NERVES. wound to the
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74 INJURIES OF NERVES. the subject
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76 INJURIES OF NERVES. as the sixth
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78 INJURIES OF NERVES. currents of
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80 INJURIES OF NERVES. small animal
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CHAPTER V. VARIETIES OF MECHANICAL
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84 INJURIES OF NERVES. regions of t
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86 INJURIES OF NERVES. Case 5.*—
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79°
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90 INJURIES OF NERVES. sensitive su
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92 INJURIES OF NERVES. M. Berard ha
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94 INJURIES OF NERVES. More severe
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Page 106 and 107: 102 INJURIES OF NERVES. Case 10.—
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Page 124 and 125: 120 INJURIES OF NERVES. the lumbar
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Page 170 and 171: IGG INJURIES OF XERVES. At the same
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196 INJURIES OF NERVES. injuries of
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198 INJURIES OF NERVES. bad cases k
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200 INJURIES OF NERVES. sergeant 26
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202 INJURIES OF NERVES. the body, s
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204 INJURIES OF NERVES. f most cons
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206 INJURIES OF NERVES. scribed, bu
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208 INJURIES OF NERVES. the tenth d
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210 INJURIES OF NERVES. contraction
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212 INJURIES OF NERVES. great pecto
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214 INJURIES OF NERVES. cannot be s
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216 INJURIES OF NERVES. elbow must
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218 INJURIES OF NERVES. vein, or th
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220 INJURIES OF NERVES. Taste was r
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222 INJURIES OF NERVES. motor loss,
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224 INJURIES OF NERVES. themselves
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226 INJURIES OF NERVES. of sensory
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228 INJURIES OF NERVES. The contrac
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280 INJURIES OF NERVES. warning in
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232 INJURIES OF NERVES. Two weeks l
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234 INJURIES OF NERVES. It was empl
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236 INJURIES OF NERVES. was slight
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238 INJURIES or nerves, iug a ribbo
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240 INJURIES OF NERVES. mortem exam
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242 INJURIES OF NERVES. cases left
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CHAPTER XL TREATMENT— CONTINUED.
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246 INJURIES OF NERVES. and the con
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248 INJURIES OF NERVES. current, on
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250 INJURIES OF NERVES. At the Unit
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252 INJURIES OF NERVES. healthy ton
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254 INJURIES OF NERVES. gained, exc
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256 INJURIES OF NERVES. look precis
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258 INJURIES OF NERVES. We used inj
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260 INJURIES OF NERVES. called npon
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• and 262 INJURIES OF NERVES. and
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i 264 INJURIES OF NERVES. and local
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266 INJURIES OF NERVES. Counter-irr
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268 INJURIES OF NERVES. were someti
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270 INJURIES OF NERVES. evidence of
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272 INJURIES OF NERVES. and at last
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274 INJURIES OF NERVES. May 3, 1863
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276 INJURIES OF NERVES. — July 15
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278 INJURIES OF NERVES. Electric te
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280 INJURIES OF NERVES. Large numbe
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CHAPTER XII. TREATMEN T— C ONTINU
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284 INJURIES or nerves. but unless
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286 INJURIES OF NERVES. an inch of
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j ' 2S8 INJURIES OF NERVES. OPERATI
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j 290 INJURIES OF ^"EllVES. OPERATI
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292 INJURIES OF NERVES. I add, as e
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294 INJURIES OF NERVES. shining. Th
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296 INJURIES OF NERVES. section of
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298 INJURIES OF NERVES. fifth or on
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300 INJURIES OF NERVES. a hot stove
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302 INJUKIES OF NERVES. or from our
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304 INJURIES OF NERVES. tracted, au
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306 INJURIES OF NERVES. Motion.—
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"308 INJURIES OP NERVES. by callus.
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SIO INJURIES OF NERVES. exchanged.
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312 INJURIES OF NERVES. with a hand
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314 INJURIES OF NERVES. flexors and
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316 INJURIES OF NERVES. February 19
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CHAPTER XIII. LESIONS OF SPECIAL XE
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320 INJURIES OF NERVES. he was hurt
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322 INJURIES OF NERVES. also more p
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324 INJURIES OF NERVES. a man who h
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apidly-developed tuberculosis. > A
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328 INJURIES OF NERVES. rior wound
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330 INJURIES OF NERVES. downward. H
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332 INJURIES OF NERVES. for the bal
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334 INJURIES OF NERVES. to the time
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336 INJURIES OF NERVES. the patient
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338 INJURIES OF NERVES. their exten
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340 INJURIES OF NERVES. assisted. M
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CHAPTER XIV. NEURAL MALADIES OF STU
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344 INJURIES OF NERVES. removed, th
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346 INJURIES OF NERVES. they are un
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348 INJUKIES OF NERVES. side. In an
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350 INJURIES OF NERVES. most absurd
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352 INJURIES OF NERVES. learns by d
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354 INJURIES OF NERVES. ally some d
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356 INJURIES OF NERVES. crushed by
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358 INJURIES OF NERVES. lu some of
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360 INJUKIES OF NERVES. will to mov
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362 INJURIES OF NERVES. « put off
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364 INJURIES OF NERVES. biceps bega
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366 INJURIES OF NERVES. that the ar
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368 INJURIES OF NERVES. I think tha
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370 INDEX. Burning pain, seat of, 1
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^ 372 INDEX. Gross, S. D., incontin
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374 INDEX. Neuritis, constitutional
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376 INDEX. Sense of locality, 185.
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ts to
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