Medical and surgical therapy . by one of us relating to changes in the cutaneousreflexes after compression by Esmarchs band— It is well known that compression of a limb byEsmarchs band may cause a loss of the tendon reflexesin that limb, even in pathological cases in which thereis an exaggeration of the tendon reflexes and ankleclonus. From experiments made on patients sufferingfrom paralysis with contracture due to lesions of thepyramidal system and presenting an extensor response,I found that under the influence of a similar constrictionapplied to the lower limb changes were also occasionall
Medical and surgical therapy . by one of us relating to changes in the cutaneousreflexes after compression by Esmarchs band— It is well known that compression of a limb byEsmarchs band may cause a loss of the tendon reflexesin that limb, even in pathological cases in which thereis an exaggeration of the tendon reflexes and ankleclonus. From experiments made on patients sufferingfrom paralysis with contracture due to lesions of thepyramidal system and presenting an extensor response,I found that under the influence of a similar constrictionapplied to the lower limb changes were also occasionallypresent in the cutaneous reflexes. When the com-pression has been sufficiently prolonged, the toes nolonger respond to stimulation of the sole, but remainmotionless (178). Tremor The affected limb is frequently subject to tremor(P. Marie and Foix); we found that this symptom wasmost pronounced during the hot weather, when the 560 REFLEX NERVOUS DISORDERS limb had been artificially warmed, or when the patientexerted Tracing XI (Reflex Contracture, v. Case I, p. 549). Undula-tions on the tracing of the movement of the thumb caused bypercussion of the muscles of the thenar eminence at the temperature. The undulations are more marked still afterapplication of heat. In the course of our investigations with the graphicmethod we noted on the tracings certain waves cor-responding to the mechanical muscular application of heat the existence of very definitesecondary muscular contractions was also found fora time. These tracings, it may be said in passing, appearto have some resemblance to those illustrating musclesunder the action of veratrine as described by in her book (212). Sensory Disturbances Patients with reflex contractures occasionally com-plain of painful sensations; the pains are either spon-taneous or caused by pressure on the nerve drew attention to them long ago, and theyhave been mentioned again by G
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
