. Medical and surgical therapy. SYMPTOMATOLOGY 565 development, as the cases under our observation areof too recent a date. All that we can say with certainty is that thesedisorders when left to themselves may remainstationary for a very long time without undergoingany appreciable modification, just as if they werepermanent. It should be mentioned in this con-nection that Charcot and Vulpian were impressed longago by the obstinate character of reflex amyotro-phies caused by slight lesions which had long sincedisappeared. We have often observed a progressive improvementin contracture and paresi
. Medical and surgical therapy. SYMPTOMATOLOGY 565 development, as the cases under our observation areof too recent a date. All that we can say with certainty is that thesedisorders when left to themselves may remainstationary for a very long time without undergoingany appreciable modification, just as if they werepermanent. It should be mentioned in this con-nection that Charcot and Vulpian were impressed longago by the obstinate character of reflex amyotro-phies caused by slight lesions which had long sincedisappeared. We have often observed a progressive improvementin contracture and paresis as a result of the variousmodes of treatment which we shall describe putting aside the hysterical element which maybe associated with them to a greater or less extent,reflex disorders are slow in showing any change. Inthe most favourable cases, including those in whichthere was apparent recovery, we have always seenpersisting hitherto a state of weakness characterisedby reduction of muscular power and the impossibil
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