Diseases of the nervous system : a text-book of neurology and psychiatry . y be early or late symptoms. Certain cases oftabes begin with such crises. Similar crises affecting other internal organs have the same etiologyand course. Thus there are intestinal colics with diarrhea, rectalpains with tenesmus and diarrhea, vesical crises with strangury, urethralcrises, renal colic-like attacks, testicular crises, vulvovaginal crises,laryngeal and diaphragmatic crises with cyanosis and dyspnea,pharyngeal crises with obstinate hiccough, bronchial crises with cough. TABES 561 cardiac with angina-like a
Diseases of the nervous system : a text-book of neurology and psychiatry . y be early or late symptoms. Certain cases oftabes begin with such crises. Similar crises affecting other internal organs have the same etiologyand course. Thus there are intestinal colics with diarrhea, rectalpains with tenesmus and diarrhea, vesical crises with strangury, urethralcrises, renal colic-like attacks, testicular crises, vulvovaginal crises,laryngeal and diaphragmatic crises with cyanosis and dyspnea,pharyngeal crises with obstinate hiccough, bronchial crises with cough. TABES 561 cardiac with angina-like attacks. Sneezing attacks have been describedas an initial tabetic sign. Sensory Involvement.—As a result of the implication of the men-inges of the sensory roots, alterations in the sensory functions takeplace. The pathological process in some is so gradual or mild as notto give rise to pain, and in many, initial paresthesias may pre-cede the pains, but .more often the same pathological process givesrise to both. Tingling, numbness, crawling sensations, flashes of hot. Fig. 282.—-Tabes involving the cauda equina, showing the radicular distribution ofthe sensory disturbances. Tactile pain and thermal sensibility were involved. Thepatient first had pains and sphincter disturbances. The second dorsal root was alsoslightly involved, hence the sensory changes in the arms (Dejerine). and cold, slight benumbing of the tactile sensibility, causing the sensa-tion of wearing a glove, or walking upon a textile are the usual may be be expected almost anywhere from the region of thetrigeminus through any sensory cervical nerve branch to the tips ofthe toes, although the ulnar region seems a site of special they cause the peculiar girdle-band sensation, at one timeconsidered so characteristic of tabes. A whole limb may be involved,but under any condition the tendency for the sensory disturbances isto show a radicular distribution (Dejerine) (Figs. 282
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