Interstate medical journal . n elevate both shoulders in a defective manner, the right betterthan the left. The movements of the right upper extremity are slow andwith deficient strength, and passive movements reveal a spastic condition,especially in pronators. Passive movements of lower extremities revealspasticity in the ^adductors, quadriceps-extensors and calf muscles, moredecided on the left than on the right. Tendon reflexes are uniformlyexaggerated, more marked on the left than on the right. Patellar andankle clonus present on both sides. Babinskis and Oppenheims reflexespresent on both
Interstate medical journal . n elevate both shoulders in a defective manner, the right betterthan the left. The movements of the right upper extremity are slow andwith deficient strength, and passive movements reveal a spastic condition,especially in pronators. Passive movements of lower extremities revealspasticity in the ^adductors, quadriceps-extensors and calf muscles, moredecided on the left than on the right. Tendon reflexes are uniformlyexaggerated, more marked on the left than on the right. Patellar andankle clonus present on both sides. Babinskis and Oppenheims reflexespresent on both sides. Cremasteric reflexes present but very weak. Ab-dominal reflexes absent on both sides, in all divisions. The sensations,touch, pain and temperature show hypoesthesia on the left and hyper-esthesia on right. Stereognostic sense not disturbed on either examination made by Dr. M. A. Goldstein gave the follow- REPORT OF A CASK OF TRAUMATIC DIPLEGIA. 229 p - it. FlG. 1. Characteristic pose before Fig. 2.—Dotted lines showing area of dullness and pain. 230 DEUTSCTI. ing: Tuning fork and watch tests both by air and tone conduction in-dicate impaired function of the auditory nerve on left side. Rennestest is positive test, and Webers test verifies Renne and other tone con-duction with tuning fork. Inspection reveals a decided retraction of leftmembrani tympani. The malleus is very prominent, the lustre of thedrum membrane is impaired. There is a circumscribed marked opacityof the posterior inferior quadrant, either cicatricial or calcareous in char-acter. Dr. Henry Wolfner reports ophthalmoscopic and other eye examinationsnegative. After studying the history of the case as presented it became apparentto me that an operation might benefit this patient. From the findingswe have a positive evidence of an injury as portrayed by the fissure inthe skull, local tenderness and dullness on percussion of the trauma, noinvolvement of any of the cranial nerves
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectmedicine, bookyear190
