Nervous and mental diseases . e tendency to, if not the presenceof, muscular atrophy. The presenceof joint disease in old, gouty, andrheumatie patients may mislead as tothe order of events, for the joint dis-turbance may be induced by the neu-ritis, or vice versa. The history mustdetermine the point. Prognosis.—Brachial plexusneuritis is always a protractedmalady, requiring from three toeighteen months, or more. In oldarthritic individuals it is especial-ly inveterate, but usually termi-nates in recovery. Relapses arelikely to take place, and someslight disability in the way of painor weakness
Nervous and mental diseases . e tendency to, if not the presenceof, muscular atrophy. The presenceof joint disease in old, gouty, andrheumatie patients may mislead as tothe order of events, for the joint dis-turbance may be induced by the neu-ritis, or vice versa. The history mustdetermine the point. Prognosis.—Brachial plexusneuritis is always a protractedmalady, requiring from three toeighteen months, or more. In oldarthritic individuals it is especial-ly inveterate, but usually termi-nates in recovery. Relapses arelikely to take place, and someslight disability in the way of painor weakness is likely to persist per-manently. The long maintenanceof flexed positions, with the double tendency to joint disturbance furnished by the rheumatic element andthe nerve-lesion, frequently result in a limitation of the range of motionat the shoulder and elbow. The wrist and smaller joints may also beaffected, and the use of the hand considerably impaired. Treatment.—The treatment is that for neuritis with especial atten-. Fig. 112 It Neuritis of the brachial plexus oueft side with wasting of arm and forearm.
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