Nervous and mental diseases . Fig. 226a.—Two early cases of facial hemiatrophy of the fifth nerve, and in another case the sole lesion was in cortex andpia of the operculum. Jacquet has demonstrated a lesion of the thirdcervical sympathetic ganglion, and many assinne that the sympatheticis alone at fault. On the other hand, Grabs- reports a marked casewithout the slightest discoverable change in the nervous hemiatrophy may occur in syphilitic cases as a local expressionof luetic action; it may be a fractional part of syringomyelia or of anyprocess that aflects the trigeminus. In
Nervous and mental diseases . Fig. 226a.—Two early cases of facial hemiatrophy of the fifth nerve, and in another case the sole lesion was in cortex andpia of the operculum. Jacquet has demonstrated a lesion of the thirdcervical sympathetic ganglion, and many assinne that the sympatheticis alone at fault. On the other hand, Grabs- reports a marked casewithout the slightest discoverable change in the nervous hemiatrophy may occur in syphilitic cases as a local expressionof luetic action; it may be a fractional part of syringomyelia or of anyprocess that aflects the trigeminus. In some instances similar wastingis present in the arm and shoulder, on the entire side of the body or onboth sides of head and body. In certain rare instances other plaquesor stripes of scleroderma are found widely distributed in the samepatient (Cassirir). Clinically, it may begin in a widening sclerodermic patch on theside of the face, but more commonly the entire half of the face graduallydiminishes. The loss affects both
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Keywords: ., bookcentury1900, booksubjectmentalillness, booksubjectnervoussys
