. Railway and other accidents with relation to injury and disease of the nervous system : a book for court use . times be overcome bythe Esmarch rubber bandage, and usually disappears dur-ing the administration of ether. While grand hysteria,as it is called by French writers, is apt to be sympto-matized by extensive tonic or clonic contractures, perhapsof recurrent nature, the cases that interest us most arethose in which a limited contracture, clearly traceable totrauma, involves perhaps an arm or a leg. They are oftenof so peculiar a character as to be recognized at once byproper tests witho
. Railway and other accidents with relation to injury and disease of the nervous system : a book for court use . times be overcome bythe Esmarch rubber bandage, and usually disappears dur-ing the administration of ether. While grand hysteria,as it is called by French writers, is apt to be sympto-matized by extensive tonic or clonic contractures, perhapsof recurrent nature, the cases that interest us most arethose in which a limited contracture, clearly traceable totrauma, involves perhaps an arm or a leg. They are oftenof so peculiar a character as to be recognized at once byproper tests without much difficulty. The form of inac-tion contracture, which involves the paralyzed extremi-ties, to which reference has been made above, occasion-ally resembles very closely certain serious kinds of centraldisease, and is often mistaken for that of the so-called 52 RA/LIVAV AXB OTHER ACCIDENTS. combined sclerosis following hysteria, amyosthenia, pro-found anemia, and prolonged decubitus, or Thomsensdisease; but the tremor is peculiar. Those contrac-tures involving perhaps the fingers or hand, toes or feet,. Fig. 4.—Hysterical Contractures. (Richet-Preston.) have the explanation referred to abo\e, and the defor-mity may take place after a scratch or wound which isinsufficient in itself to produce neuritis and essential con-tracture or tissue changes. The hysterical contracture isattended by freedom of the wrist, with bending of thefirst phalanges upon the metacarpal bones. The otherspresent but a slight degree of flexion. The appearanceof the hand is striking, the fingers being uniformly bentand crowded together so that a sort of cone is formed,the apex of which corresponds to the extremity of the last ACCiniiNT ABOUJJA. 53 phalanx. The thumb is adckictccl and strongly forcedagainst the index finger, and tlie whole hand is flexedquite strongly. Sometimes there is a greater degree offlexion so that the phalanges and metacarpal bones arestrongly flexed, the fist being doubled a
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