Lectures on nervous diseases from the standpoint of cerebral and spinal localization, and the later methods employed in the diagnosis and treatment of these affections . Fig. 44.—Ulnar Paralysis. (After Bramwell. In amyotrophic lateral spinal sclerosis the hand, when affected, isstrongly Hexed upon the forearm, the fingers are shut tightly upon thepalm, and the thumb is drawn inward toward the fingers. Attempts tostraighten the fingers, thumb, or hand, will be strongly resisted, andcause pain. In course of time the affected muscles become markedlyshrunken, thus adding to the deformity describe


Lectures on nervous diseases from the standpoint of cerebral and spinal localization, and the later methods employed in the diagnosis and treatment of these affections . Fig. 44.—Ulnar Paralysis. (After Bramwell. In amyotrophic lateral spinal sclerosis the hand, when affected, isstrongly Hexed upon the forearm, the fingers are shut tightly upon thepalm, and the thumb is drawn inward toward the fingers. Attempts tostraighten the fingers, thumb, or hand, will be strongly resisted, andcause pain. In course of time the affected muscles become markedlyshrunken, thus adding to the deformity described. Fibrillary twitchingsmay be easily excited in the affected muscles, provided they do not spon-taneously exist. When paralysis of the ulnar nerve exists, adduction of the hand isno longer performed in a perfect manner, since the flexor carpi nlnariscan no longer act in unison with the extensor carpi ulnaris. Flexion 15S LECTURES ON NERVOUS DISEASES. of tile liaiid is jXTtbrmed inipcrfictly, and b}^ moans of tlie flexor ofthe ladial side of the forearm only, since that mnscle is supplied bythe median nerve. The ability to move the little finger is almost entir


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Keywords: ., bookcentury1800, bookdecade1880, bookidlecturesonne, bookyear1888