Medical and surgical therapy . the paralysis be-gins to retrocede, andsometimes so rapidly thatmovements are recoveredin a few weeks, reflexesreappear and then be-come exaggerated ; para-lysis, which was slightat first, develops into adeformity, which becomesworse, until the limb hasall the appearance of thecommon type of hemi-plegic arm. But more often re-covery of movement isslow, the paralysis re-maining flaccid for a first movements which return are those of thefingers (slight flexion), and then slight movementsappear in the wrist, elbow, and shoulder. Anaesthesia, which was t
Medical and surgical therapy . the paralysis be-gins to retrocede, andsometimes so rapidly thatmovements are recoveredin a few weeks, reflexesreappear and then be-come exaggerated ; para-lysis, which was slightat first, develops into adeformity, which becomesworse, until the limb hasall the appearance of thecommon type of hemi-plegic arm. But more often re-covery of movement isslow, the paralysis re-maining flaccid for a first movements which return are those of thefingers (slight flexion), and then slight movementsappear in the wrist, elbow, and shoulder. Anaesthesia, which was total at first, is confined tothe zone of one or more nerve-roots. The electricalreactions are definitely affected, reaction of degenera-tion being found in some of the muscles supplied byone or two anterior roots. But spastic symptoms appear simultaneously. Thetriceps refiex is lost, and there is paralysis of the tricepsand palmar muscles (C), whilst the stylo-radial wristreflex is brisk. Pain generally referred to the area of. Fig. 61.—Sensory radicular distri-bution of head and neck. CERVICAL AND BRACHIAL PLEXUSES 149 impaired sensation, or to the zone of the nerve-rootsimmediately above or below. Pressure on the nerve-trunks is painful. Paralysis of the upper extremity goes on developingin this way, until one day the patient complains ofthe leg on the affected side. He feels a weakness in the lower limb ; his footdrops, and sweeps the ground as he walks ; he developsa steppage gait, or circumducts his leg hke the sub-ject of hemiplegia; or again the movements of his leg ^ Frontal branch. ?3 g Nasal branch. -Sup. maxillary nerve. - Inf. maxillary nerve. Transverse cervical.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
