Nervous and mental diseases . resenting habitual dislocation of the shoulder dueto changed contours of the humeral head and the glenoid cavity. Vasomotor symptoms are represented by dermographia, bluenessor redness, edemata, and localized disturbance of perspiration, especiallyin the aifected areas. Unusual Symptoms.—In various rare instances the followingunusual and rather accidental conditions have been present, due to thespecial location of the gliomatous disease in the particular case : Lossof sphincter control, sexual impotence, suppression of menstruation,pupillary inequality, narrowing
Nervous and mental diseases . resenting habitual dislocation of the shoulder dueto changed contours of the humeral head and the glenoid cavity. Vasomotor symptoms are represented by dermographia, bluenessor redness, edemata, and localized disturbance of perspiration, especiallyin the aifected areas. Unusual Symptoms.—In various rare instances the followingunusual and rather accidental conditions have been present, due to thespecial location of the gliomatous disease in the particular case : Lossof sphincter control, sexual impotence, suppression of menstruation,pupillary inequality, narrowing of the palpebral fissure and retractionof the eyeball, nystagmus, facial paralysis, hypoglossal paralysis, opticneuritis, pneumogastric accidents, and bulbar invasion, producing a pro-gressive bulbar palsy and other cranial-nerve disablements. Such casesare sometimes designated syringobulbia (Fig. 152). Course.—Syringomyelia is a chronic malady of slow progressionand fatal termination. It often presents stationary periods. Fig. 151.—Hands and foot in cases of syringomyelia of Morvana type, Bhowing, 1. mutilations of thelingers from whitlows, 2, osteo-arthiopathy of wrist-joint, and 3, loss of toes. or even slight temporary improvement may be noticed. Bulbar invasionmeans early termination. It has exceeded forty years duration infavorable cases, and may be interrupted by death from concurrent oraccidental disease. Its logical termination is in death by exhaustion orby bulbar crises. Ulcerations, dystrophic conditions, or infections fromsuch sources may induce a fatal termination. Clinical Forms.—The ordinary form has been in view in the pre-ceding lines. One clinical variety is furnished by Morvans disease. Inthis form the sensory dissociation is marked, especially in the hands andarms, with associated atrophy and paresis. There are mutilations ofthe fingers by successive whitlows and marked cutaneous and arthropathies are usually present. Zambaco ins
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