. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. shown by the absence of muscular atrophy, of fibrillation, and of the reactions of degeneration. A peculiar symptom is spasmodic involuntary laughter or cr^-ing. It is well shown in the thought that this indicatedlesions of the optic thalami. Cerebral symptoms sometimesoccur in these patients, such as apha-sia, d3sarthria, dementia, hemianop-sia, etc. There is also seen in rarecases conjugate paralysis of theeyes; in one of the above cases therewas paralysis of the upw
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. shown by the absence of muscular atrophy, of fibrillation, and of the reactions of degeneration. A peculiar symptom is spasmodic involuntary laughter or cr^-ing. It is well shown in the thought that this indicatedlesions of the optic thalami. Cerebral symptoms sometimesoccur in these patients, such as apha-sia, d3sarthria, dementia, hemianop-sia, etc. There is also seen in rarecases conjugate paralysis of theeyes; in one of the above cases therewas paralysis of the upward move-ment of both eyes. Among other symptoms rarelyseen are optic neuritis or atrophy,and respiratory troubles. Anaes-thesia is not commonly has been more speculationthan actual post-mortem observation theseat of the lesion; and Oppenheim, who reviews the subject, comes to no very definite conclusion. Brissaud places the lesion, or lesions, in the posterior part of the optic thalami; ^ this was not so in Lloyds recent case. 1 Lecons sur les Maladies Ner\-euses, Paris, 1895, p. Fig. -Involuntary lauLdobulbar palsy. -Llojd. •a-e of pseu- 730 MEDICAL DIAGNOSIS. Diagnosis.—The disease is distinguished from true bulbar palsy bythe abrupt onset, the central character of the symptoms.—the absence ofatroph}^, of fibrillation, and of electrical changes,—by the associatedcerebral symptoms, and by the history. DISEASES OF THE CRANIAL The cranial or cerebral nerves compiise twelve pairs ot symmetri-cally arranged nerve-trunks which are immediately connected with thebrain and pass through various foramina at the base of the skull to bedistributed, Ttdth the exception of the tenth pair, to the structures ofthe head and neck. These pairs of nerves are numbered according to the order in whichthey penetrate the dura from before backward from the first to the have^ moreover,, received designations descriptive of their functionso
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
