Illustrations of some less-known forms of peripheral neuritis, especially alcoholic monoplegia, and diabetic neuritis / by Thomas Buzzard.

  • Buzzard, Thomas, 1831-1919.
Date:
[1890]
Catalogue details

Licence: Public Domain Mark

Credit: Illustrations of some less-known forms of peripheral neuritis, especially alcoholic monoplegia, and diabetic neuritis / by Thomas Buzzard. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    appeared to be affected. The atrophy had been preceded by j^eat gna,wing pain about the shoulder, with shoot-'ng down the arm, which had begun, according to the patient's account, about a month previously. There were no knee-jerks. When I saw this patient five months later, he could lift the shoulder and elbow, which he had not been able to do when he was first examined, but electrically there was no improvement. There was no reaction to the strongest induced current in the muscles of the shoulder, arm, and extensor side of the forearm; the flexors of the wrist and fingers required also a strong current. The skin of the shoulder of the right side was but little sensitive to induced currents, and he had been complaining of pain in that situation. In June, 1889,1 again saw this patient in consultation at his own house. He was then suffering from congestion of the base of the left lung. Both his arms were now very incapable. I recently saw a female whose gait was shambling, and who could scarcely use her hands. There was a history of pains in the feet, gradually extending up the legs, of a sharp character, from which she had suffered for three years. She had no knee- jerks. Pupils reacted to light. There was anaesthesia below the knees. She could dorsal-flex the feet, but the legs were very weak. Her memory was good. There was no appearance or history of alcoholism. I suggested to her medical attendant to examine the urine for sugar. He found it of specific gravity 1042 and highly charged with sugar. It appears from a case recently published by Dr. Althaus that the neuritis in diabetes may be Umited to a single nerve.