. The Journal of nervous and mental disease. fy, lefthand and arm normal. Absolutely no movement in right arm andhand. Motion in left hand lost, some movements in left other movements gone. Upper cervicals intact. Had tinglingsensation in both arms most of the time. Decubitus on the right elbow. All reflexes of upper extremitiesgone. Middle and lowed abdominals on left present. Unper andall on the right absent. Right leg everted. Left leg in normal posi-tion. Knee jerks exaggerated, right more than left. Right legweak from some flexion. Double Babinski, more pronounced on WAR TRAUMA
. The Journal of nervous and mental disease. fy, lefthand and arm normal. Absolutely no movement in right arm andhand. Motion in left hand lost, some movements in left other movements gone. Upper cervicals intact. Had tinglingsensation in both arms most of the time. Decubitus on the right elbow. All reflexes of upper extremitiesgone. Middle and lowed abdominals on left present. Unper andall on the right absent. Right leg everted. Left leg in normal posi-tion. Knee jerks exaggerated, right more than left. Right legweak from some flexion. Double Babinski, more pronounced on WAR TRAUMAS OF THE SPINAL CORD 125 the right. No clonus. Sensory: Hyperesthetic on right leg. Hy-peresthetic on left leg. Heat and cold in left leg reversed, on theright normal. This case is also a Brown-Sequard syndrome, though not presents at the same time a dissociated paralysis and somewhatdissociated sensory disturbances. Three weeks later another examination is undertaken by FirstLieutenant A. II. Williamson, with following findings:. Fig. 3. Patient N. V. showing change of sensory disturbancesshort time. ithin a Klumpke-Dejerine ocular syndrome on the right. The rightshoulder was depressed. Was able to bring arm forward and back-ward. These movements were definitely present and about onefourth of the normal range of movement. No other motion in theright arm. Sensory disturbances showed anesthesia to pin pointover dorsal surface of hand and half of forearm, radial side. Thesame distribution on the palmar surface (see diagrams 5 and 6). L. GRIMBERG The left arm showed all movements preserved. Feeble move-ments with thumb. The fingers were not flexed and only weaklyextended. Faltering abduction of the fingers. No sensory changes. The legs showed the right stronger than the left, reflexes moreactive than normal. No Bahinski and no clonus. No sensory changes.
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectpsychologypathologic
