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

334 INJURIES OF NERVES.
to the time of examination the man was deaf in the right
ear, and was subject to attacks of vertigo, daring which
he would run forward a few steps and then rotate to the
right several times, external objects seeming to move
from left to ris^ht.
The facial palsy was complete, and some of the muscles,
as the levator anguli oris and zygomaticus, were contracted
so as to give to his visage a most singular look.
N^o electrical excitation was capable of inducing movement,
but, as I have often observed in these cases, the skin
of the right face was hypersesthetic.
The voice was slightly nasal, and deglutition was awkward
at times, while there was considerable difficulty in
pronouncing certain sounds, especially the letters I and p.
The right side of the tongue was of a light brown tint,
and smooth ;
the left rougher and covered with a moist
white fur. The recognition of tastes was slow on the
right side, and was plainly impaired, but not lost. The
chief difficulty as to the lingual movements seemed to be
in turning the tip of the tongue up and carrying it
to the
right side. The right palatal arches were lower than
those of the left, and the palate, which was oedematous,
was pulled to the left, the tip looking to the right and a
little forward, but the whole organ being dragged to the
left, a little past the middle line, by the action of the
healthy opponent muscles. After a careful examination,
I was satisfied that the right palatal muscles were less
responsive to induced currents than the left. I should also
add that the right half of the tongue was distinctly less
in size than the left.
I regret that this very instructive case passed out of
my control and knowledge. It is an admirable confirmation
of the opinions which Davaine, Saunders, and others
founded upon pathological and physiological data.
The treatment of these cases does not differ from that