A treatise on the diseases of the nervous system . hat theflexor muscles had become much shortened, and the skin in the groinsand popliteal spaces was tense and unyielding. The accompanyingwoodcut (Fig. 37) shows the positions of the legs and arm at this these circumstances I requested the advice of my friend A. Say re, and after consultation it was determined to divide thetendons of the tensor vaginas femoris, the sartorius, the gracilis, andthe biceps, on each side. When this was done by Prof. Sayre, thepatient being under chloroform, careful but powerful efforts at exten-
A treatise on the diseases of the nervous system . hat theflexor muscles had become much shortened, and the skin in the groinsand popliteal spaces was tense and unyielding. The accompanyingwoodcut (Fig. 37) shows the positions of the legs and arm at this these circumstances I requested the advice of my friend A. Say re, and after consultation it was determined to divide thetendons of the tensor vaginas femoris, the sartorius, the gracilis, andthe biceps, on each side. When this was done by Prof. Sayre, thepatient being under chloroform, careful but powerful efforts at exten-sion were made, and the skin in the popliteal space on both sides wasnecessarily torn, owing to its contraction and inelasticity ; the limbswere thus brought into a state of complete extension, and, by a systemof weights and pulleys similar to that used in Bucks fracture apparatus,they were kept in this position. The patient was, however, too weakto endure the fatigue of the necessary extension and confinement. He 452 DISEASES OF THE SPINAL Fig. 37. SPINAL MENINGITIS. 453 took off the weights whenever they caused pain or great add to the difficulties, a large bed-sore formed on the right buttock,and the strength of the patient declined so rapidly that, in order tosave his life, the apparatus had to be entirely removed. He rapidly re-covered, but, as cicatrization went on, the limbs again became con-tracted, and in the course of two or three months were as bad as in the back soon afterward supervened, the legs and one armbegan to be affected with spasms, and the paralysis also returned. Arenewal of the former medication again caused relief, and the patienthas to this da,y remained free from any spinal disease, though his legsare still contracted. This is the third case of cure referred to as hap-pening in my experience. For the cure of the bed-sores the method recommended by may be used. It consists in the alternate applicationof s
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectnervoussystem, bookye
