. Railway and other accidents with relation to injury and disease of the nervous system : a book for court use . neous anes-thesia which affects the organ of special sense, as well assome of the deeper parts of the body; hyperesthesia anddysesthesia, besides certain bizarre disturbances of respi-ration, digestion, and micturition. Motor Disturbances.—Amyosthenia or muscularweakness often precedes complete paralysis, or the lattermay suddenly occur, whichis the rule. It is oftenshown by an unexpectedloss of power, which, how-ever, is temporary, and maycause the patient suddenlyto drop to the gr
. Railway and other accidents with relation to injury and disease of the nervous system : a book for court use . neous anes-thesia which affects the organ of special sense, as well assome of the deeper parts of the body; hyperesthesia anddysesthesia, besides certain bizarre disturbances of respi-ration, digestion, and micturition. Motor Disturbances.—Amyosthenia or muscularweakness often precedes complete paralysis, or the lattermay suddenly occur, whichis the rule. It is oftenshown by an unexpectedloss of power, which, how-ever, is temporary, and maycause the patient suddenlyto drop to the ground, hisknees giving way; to letfall what he may have inhis hand, or to collapse insome other way. Hysteri-cal paralysis is ordinarilyconfined to the voluntarymuscles, especially those ofthe extremities, although itis held that the muscularcoats of the intestines, as well as other mvoiuntary mus-cles of deeper parts, may be sometimes involved. Bothlower extremities (paraplegia), one upper and one lowerextremity on the same side (hemiplegia), or sometimesa single member, muscle, or group of muscles (mono-. FlG. 2. —Hysterical Paralysis.(Raymond-Janet.) 48 . I^A/LWAV AND OTHER ACCIDENTS. plegia) may be involved. The hemiplegic form is perhapsthe most common, especially in women, and at timesclosely resembles true hemiplegia of a more serious kind,dependent upon a lesion of the brain or spinal is, however, none of the involvement of the facialmuscles that is found as a symptom of the first variety,and the left side of the body is more often affected thanthe right. Babinski gives a diagnostic sign which helps in differ-entiating between hysterical hemiplegia and that of anorganic nature. This is obtained by making the subjectlie on his back with his arms folded in front, when heis told to rise to a sitting position, his arms remainingfolded. When this is attempted it will be found that ifhis paralysis is hysterical, the extremity will remain flac-cid and parallel wi
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