On the diseases and derangements of the nervous system : in their primary forms and in their modifications by age, sex, constitution, hereditary predisposition, excesses, general disorder, and organic disease / by Marshall Hall.

  • Hall, Marshall, 1790-1857.
Date:
1841
Catalogue details

Licence: Public Domain Mark

Credit: On the diseases and derangements of the nervous system : in their primary forms and in their modifications by age, sex, constitution, hereditary predisposition, excesses, general disorder, and organic disease / by Marshall Hall. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    however, certainly known, the patient having happily re- covered. 1522. The most interesting case of this kind, which it has ever been my lot to witness, was that of Ruth Peters, aged sixty, who was repeatedly seen by my pupils during the session of 1836 : this person was taken with pain of the right temple, deafness of the right ear, partial paralysis' of motion and of sensation on the right side of the face—the right eye-lid being only slightly depressed on attempting to shut the eyes, and the mouth being drawn to the opposite side. These symptoms continued, and, in three months, precisely similar events oc- curred on the left side, in a severer form, the mouth being drawn to the right. 1523. These phenomena continued for a very considerable period. At length a small portion of bone fell upon the upper surface of the soft palate, and was eventually dislodged and rejected by the mouth. It proved to be a portion of the OS sphenoides. The appearance of this bone aifords an ex- planation of the interesting series of phenomena observed in this case. There was disease of the base of the brain, which interfered with the functions of the trifacial, the facial, and the auditory nerves*. (See p. 17, note.) 1524. I need scarcely observe that the eighth or auditory nerve is liable to pressure or disease within the cranium or within the ear, and that deafness is the consequence. Para- lysis of the facial and of the auditory nerves not unfrequently exist together, as in the case which I have just related: this coincidence leads us to the conclusion that there is some in- ternal disease. 1525. I must now draw my readers' attention to the ninth, or glosso-pharyngeal nerve. It has long been disputed whether the sense of taste be situated at the tip or at the root of the tongue. On this question another depends, viz. whe- ther the nerve of taste be a branch of the trifacial,—long termed the gustatory, or of the glosso-pharyngeal, the former being distributed upon the tip, the latter upon the root, of that organ. The celebrated Scarpa, in his splendid work on the Nervesf, has detailed some novel and interesting experi- * Compare Mayo's Anat. and Phys. Com. No. II, p. 12—15. t Pages 16—17. X 2