Alienist and neurologist. . characteristic inmany cases, though by no means in all. Fig. 1 shows the painful area in the first case above,the intensest pain being at the darkest spots. There wasno erythema in this case, but pallor of the foot and shaded parts in,— Fig. 2 shows area of flushing in second case abovedescribed, and region of pain, the chief pain being atdarkest points. Fig. 3 is a diagram of the digital nerve distributionsand their trunk connections with the plantars and beyond,showing how the internal aspect of the fourth toe is sup-plied by a branch from the plantaris i
Alienist and neurologist. . characteristic inmany cases, though by no means in all. Fig. 1 shows the painful area in the first case above,the intensest pain being at the darkest spots. There wasno erythema in this case, but pallor of the foot and shaded parts in,— Fig. 2 shows area of flushing in second case abovedescribed, and region of pain, the chief pain being atdarkest points. Fig. 3 is a diagram of the digital nerve distributionsand their trunk connections with the plantars and beyond,showing how the internal aspect of the fourth toe is sup-plied by a branch from the plantaris internus. We must either accept the term neuritis or neuralgiaplantaris for these cases, or apply to some of them a 208 C. H. Hughes. new designation, as they are often, as in the cases heredescribed, instances of evident constitutional neuropathiawith local neuritis, for both patients above were hyper-esthetic to sound as well as touch, both were mentallyvery irritable, and one had marked Neuritis Plantaris. Addendum.—In the discussion which followed theread-ing of this paper the question was asked if there was anyatrophy? There was not appreciable in the affected toes orportions of the foot involved. We did not look was there the not uncommon reaction of degenerationand paralysis which we see coupled with absence of thecutaneous and tendonous reflexes in the secondary neuritisof wounds and organic inflammation, or in primary multipleneuritis. The cure was perfect, and these frequent untowardsequelae were not apparent at the time treatment of the pa-tient was discontinued. The best and most marked resultsfollowed the aconite and gelsemium, and the galvanism. A drachm of quinine and four grains of belladonnawere given during the two first days, but not so heroicallyemployed after. The other remedies, except the gelsemiumand galvanism, were employed pro re rata, the aconite beingdiscontinued after the first week, but the galvan
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Keywords: ., bookcentury1800, bookdecade1, booksubjectpsychology, bookyear1887
