Nervous and mental diseases . expression andattempts at speech, that he has regained partial consciousness. If undis-turbed, he relapses into stertorous sleep, and the expired air puffs out theflabby cheek of the paralyzed side of the face and escapes through theangle of the mouth on that side. Finally consciousness is restored. Shortly after the stroke the rectal temperature is slightly lowered, butis likely to rise a little above normal after a day or two. In all casesafter a few hours the temperature will be found higher on the side fromwhich the eyes are averted—that is, on the paralyzed s
Nervous and mental diseases . expression andattempts at speech, that he has regained partial consciousness. If undis-turbed, he relapses into stertorous sleep, and the expired air puffs out theflabby cheek of the paralyzed side of the face and escapes through theangle of the mouth on that side. Finally consciousness is restored. Shortly after the stroke the rectal temperature is slightly lowered, butis likely to rise a little above normal after a day or two. In all casesafter a few hours the temperature will be found higher on the side fromwhich the eyes are averted—that is, on the paralyzed side—than on theother. This is true of the mouth, face, trunk, and extremities, and thedifference amounts to from 1° to 2° F. At the same time this warmer,paralyzed side often shows increased perspiration, and usually an in-tensified redness and congestion as compared with the other. The motor loss in this variety of cerebral hemorrhage is consciousness has partly returned its distribution can be plainly. Fig. 85.—Right heiuiparesis with athetosis in hand. 1, Ordinary expression ; 2, spasmodic involuntarylaughter, showing bilateral action of facial muscles. determined. Usually the arm is much more affected than the leg, andthe face shows great variations of implication in different cases. In someit is scarcely affected. As a rule, the distal portion of the limb is muchmore affected than the portion near the trunk. The hand thus suffersproportionately more than the arm or shoulder, the foot than the muscles of the trunk, being paired and fully represented bilaterallyin the cortex, do not show much one-sided loss of power. A carefulexamination will, however, detect reduced respiratory excursions on thepalsied side in forced respiratory movements, and unilateral weakness inthe acts of sneezing, coughing, etc. ^ The facial a^^i/mmetri/ offers severalimportant and significant peculiarities. Except in the rarest instances itis only the lower half of
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Keywords: ., bookcentury1900, booksubjectmentalillness, booksubjectnervoussys
