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

330 INJURIES OF NERVES.
downward. He fell, conscious, bleeding freely from the
ear only. After two minutes he arose and walked away,
the blood still
spouting from the ear until it was checked
by a bandage over that organ. He did not suft'er until
the next day, when he had the usual inflammatory pains.
The sight of the left eye
is said to have become aftected
on the second day,
— a defect which remains unchanged.
The paralysis of the muscles was immediate, and his
speech was at once rendered difficult, owing, as it seemed
to him, to some loss of power in the tongue and lips.*
Hearinc: was lost at once in the left ear.
June 8, 1864.— The pains in the face, and the swelling,
which was never great, are now less severe. The wounds
are open, but healing.
The nutrition is unaltered. The lines of the face are
lost, the tip of the nose and the lower mobile portions
of the face are drawn to the right.
The left
eyebrow
has fallen a little. The tears run over the edge of the
lid.
The tongue is perfectly movable and under entire control
of the will.
in articu-
Speech perfect, except a slight impediment
lating the gutturals, but there is more difficulty as to the
labials.
Special Senses. — The left
as the right.
eye sees only one-third as well
Hearing is lost in the left ear. On washing out the pus,
a mass of granulations was seen at the bottom of the ear.
Possibly the bony meatus may have been fractured by the
ball, but no bone escaped except pieces of the jaw, which
came out with the ball.
Taste.— There seems to be slight loss of gustation on the
* It is to be remembered tbat tbe facial proper directly supplies several
muscles more or less concerned in the motions of the tongue.