Lectures on nervous diseases from the standpoint of cerebral and spinal localization, and the later methods employed in the diagnosis and treatment of these affections . should be distinguished at the bedside. Acute Form. {Infantile Spinal Paralysis—Acute Spinal Paralysis ofAdults.)—The onset of this form is usually marked by a sudden elevation of. Fig. 9P.—Poliomyelitis Anterior Ac n \, oc lki;i:.(. in the Adult from Sleeping onWet Ground. (From a photograph in the possession of the Author.) Note the extensiveatrophy of deltoid region, forearm, and hand. temperature. The febrile symptoms may
Lectures on nervous diseases from the standpoint of cerebral and spinal localization, and the later methods employed in the diagnosis and treatment of these affections . should be distinguished at the bedside. Acute Form. {Infantile Spinal Paralysis—Acute Spinal Paralysis ofAdults.)—The onset of this form is usually marked by a sudden elevation of. Fig. 9P.—Poliomyelitis Anterior Ac n \, oc lki;i:.(. in the Adult from Sleeping onWet Ground. (From a photograph in the possession of the Author.) Note the extensiveatrophy of deltoid region, forearm, and hand. temperature. The febrile symptoms may be either continued or remittentin type. The fever may last from twenty-four hours to several days. Itis not uncommon to observe pains in the limbs, muscular twitchings,tremors, convulsions, delirium, and occasionally a sense of numbness inconnection with the stage of fever. Sudden paralysis of a marked character soon follows, and with itsappearance the febrile symptoms disappear. The paralysis usually attainsits height at the onset. The .seat and type of the paralysis vary with the spinal segmentsaffected and with the character of the attack,—whether unilateral or 24 o/U LECTUKES ON NERVOUS DISEASES. bilatenil. All the limbs may bo ulfected in some cases. (Completepa^alysiti.) Again, it may be- contined to one lateral half of thebody.
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