File:Diseases of the nervous system (1910) (14793030123).jpg

Identifier: diseasesofnervou00chur (find matches)
Title: Diseases of the nervous system
Year: 1910 (1910s)
Authors: Church, Archibald, b. 1861, ed Salinger, Julius L. (Julius Lincoln), tr
Subjects: Nervous system
Publisher: New York and London : D. Appleton and company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Fig. 192. These nerve tracts may remain unaffected after a complete transverse lesionextending the entire length of the vertebral canal if the affected roots havealready emerged from the vertebral canal (when the lesion is below the thirdlumbar vertebra). In the prognosis of disease of the lower portions of the spinal cord andof the cauda equina we must always consider the severity of the damage. An 740 PARALYSES OF THE PERIPHERAL NERVES injury or disease of the cord is usually serious, although this is not invariablythe case, for there are instances reported in literature which show that lesionsof the cauda more often terminate seriously than those of the conus, althoughthe latter are generally regarded as more dangerous. In not a few cases thelocal paralysis in certain areas of the lower extremities may in the course ofweeks gradually disappear so that merely paralysis of the bladder and rectumand a disturbance of the sexual function remain. If the disease is due to
Text Appearing After Image:
Fig. 193.—Diagram of Spinal Sensation. (After Seiffer.) syphilis the prognosis is somewhat more favorable; when there is certainly atumor of the cauda equina, there is some prospect of recovery if proper surgi-cal aid is at hand. Treatment.—In any case of injury to the vertebrae, surgical treatment isthe first indication. In fracture or dislocation of the vertebras the surgeonmust decide whether anything can be done to relieve the compression of thespinal cord and its lower roots. It is the duty of the physician to see thatsuch patients are kept in a proper position and, above all, he must endeavor PARALYSIS IN THE PUDENDIC AND COCCYGEAL PLEXUSES 741 to prevent bed-sores. In most cases catheterization must be resorted to onaccount of the paralysis of the bladder usually present, and one of the physi-cians most important duties is to prevent infection of the mucous membraneof the bladder. If syphilitic infection has preceded, antisyphilitic treatment is, of course,in order. Lukewar

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