Organic and functional nervous diseases; a text-book of neurology . in January, 1897,showed a very marked condition ofatrophy with corresponding paral-ysis in the muscles of both upper ex-tremities, chest, scapulae, and back,as shown in the picture. () No muscle was entirely para-lyzed, but all the muscles were ex-tremely weak, presented fibrillarycontractions on exposure to cold oron percussion, but did not showany reaction of degeneration. Theatrophy was most extreme aboutthe muscles of the scapulae and inthe deltoids and upper part of the arms. The muscles of the tho
Organic and functional nervous diseases; a text-book of neurology . in January, 1897,showed a very marked condition ofatrophy with corresponding paral-ysis in the muscles of both upper ex-tremities, chest, scapulae, and back,as shown in the picture. () No muscle was entirely para-lyzed, but all the muscles were ex-tremely weak, presented fibrillarycontractions on exposure to cold oron percussion, but did not showany reaction of degeneration. Theatrophy was most extreme aboutthe muscles of the scapulae and inthe deltoids and upper part of the arms. The muscles of the thoraxand back were markedly atrophied, so that a lordosis was very evident,causing peculiar motions of balancing in the act of walking. Theatrophy was about equal on both sides. The biceps was less atrophicthan the other muscles of the upper arm. The flexors and extensorsof wrist and fingers, the thenar and hypothenar muscles, and theinterossei of the hand, were very much atrophied. The lower portionof the pectoralis major on both sides was preservedj but the upper. Case of syringomyelia. Atrophy of themuscles of the shoulders and right arm. Cur-vature of the spine forward from atrophy ofmuscles of the bacli. DIAGNOSIS. 835 part was atrophic. The muscles of the abdomen and legs were not inany way a^ected, but the knee-jerks were very much exaggerated, andthere was ankle clonus on both sides. The elbow and wrist reflexeswere lost. Face was normal. Sensation to touch was preserved in allparts of the extremities, body, and thorax, but sensations of heat andcold and of pain could not be perceived over the upper part of thethorax or in both upper extremities. The loss of pain sense wassomewhat less extensive than the loss of sensation to heat and cold onthe back. This patient was observed very carefully in St. LukesHospital for six months, but there was little or no change in hiscondition.^ Diagnosis. —When the three characteristic symptoms already men-tioned are present in any case
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectnervoussystem, bookye
