File:A treatise on the diseases of the nervous system (1881) (14591054750).jpg

Identifier: treatiseond00hamm (find matches)
Title: A treatise on the diseases of the nervous system
Year: 1881 (1880s)
Authors: Hammond, William Alexander, 1828-1900
Subjects: Nervous system
Publisher: New York : D. Appleton and company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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e enlargement in the lower ex-tremities had been going on for two or three months. The left side ofthe face was decidedly larger than the right. The patient was stillunable to walk, stand, or sit alone, but was comparatively strong inthe arms, and in good general health; His mind was remarkablybright. At all my examinations except the last two, I removed, by meansof Duchennes trocar, portions of the hypertrophied and atrophied 510 DISEASES OF THE SPIXAL CORD. muscles, the results of the examination of which will be given underthe head of the morbid anatomy. Quite recently Dr. E. B. Richardson, of Mount Sterling, Kentucky,has given me the details, with photographs, of an interesting case of thedisease under notice. The patient, a boy, is eight years of age, ofaverage intelligence, though not capable of prolonged mental exertion.The disease is of several years duration, and he is slowly getting worse.His locomotion is peculiar ; usually he walks with his hands grasping Fig. 53. Fig. 54.
Text Appearing After Image:
the front of the thighs, and his legs are drawn up suddenly as if withstrings fastened to his back. In ascending a staircase, he does so withhis hands on his thighs, and the same foot is always advanced first, andnot each alternately. If sitting down, he raises himself by clasping thethighs strongly ; otherwise he cannot get up at all. The boys father is a strong and robust man ; his mother is delicate,and has had seven children, of whom three are younger than the pa-tient. In two, at least, of the other children there is some enlargement PSEUDO-HYPERTROPHIC SPINAL PARALYSIS. 511 of the gastrocnemii muscles and a general emaciated appearance of theupper extremities. With the birth of the last child the mother hadpuerperal mania, and, June 23d, had not fully recovered. She had asister and a brother who were insane, and there is incurable insanity incollateral branches of her family. Fig. 53, from a photograph, shows well the atrojxhy of the trunkand upper extremities, the spinal curve,

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