Organic and functional nervous diseases; a text-book of neurology . wo weeks. It is usually followed by some ansesthesia, although thisrarely becomes complete. In some cases the loss of tactile sense isquite evident from the onset, either limited to the cutaneous distribu-tion of some special nerve, in which case oddly-shaped areas of insen-sibility will be found, as in lepra, or, as is most often the case, about ^ Judson Burj. Clifford AUbutts System of Medicine, vol. vi. SYMPTOMS. 199 uniformly distributed over the distal parts of the extremities and fad-ing off inta normal conditions higher


Organic and functional nervous diseases; a text-book of neurology . wo weeks. It is usually followed by some ansesthesia, although thisrarely becomes complete. In some cases the loss of tactile sense isquite evident from the onset, either limited to the cutaneous distribu-tion of some special nerve, in which case oddly-shaped areas of insen-sibility will be found, as in lepra, or, as is most often the case, about ^ Judson Burj. Clifford AUbutts System of Medicine, vol. vi. SYMPTOMS. 199 uniformly distributed over the distal parts of the extremities and fad-ing off inta normal conditions higher up upon the limb. When theansesthesia is at its height the patient has difficulty in locating a touchupon the hands and feet, even though he feels it. The distribution ofthe ansesthesia when it is fully developed corresponds to the parts ofthe extremities covered by gloves and stockings, and hence has beennamed the glove-shaped and stocking-shaped area of anaesthesia.() This distribution of anaesthesia, contrasting sharply, as it Fig. 101. N. N. NN. supraclavic. R. Dors. N. axill. N. cut N. ^ ^—N uln.—N. median. K. sapfc:- N. suralis ^| distribution of anesthesia in multiple neuritis. The dotted areas are anesthetic. These do not correspond with the distribution of the various nerves. does, with that due to spinal-cord disease, or to that occurring in injuriesof single nerves, and being symmetrical upon the two limbs, is quitediagnostic of multiple neuritis. The transmission of pain and temper-ature sensations is sometimes delayed, but these impressions are usuallyfelt quite acutely. The sense of pressure is less commonly sense of vibration as tested with the tuning fork is often lost muscular sense escapes any affection in some cases, but


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