Three cases of nervous disease / by T.K. Monro, M.A., M.D., Physician to the Glasgow Royal Infirmary.

  • Monro, Thomas Kirkpatrick, 1865-
Date:
[1901]
Catalogue details

Licence: In copyright

Credit: Three cases of nervous disease / by T.K. Monro, M.A., M.D., Physician to the Glasgow Royal Infirmary. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    ill the dorsal region and lordosis lower down. In addition, there is slight skoliosis, with the convexity to the right at the level of the scapula. When she pushes with the left arm, a groove appears along the inner border of the left scapula chiefly at its lower part. No such groove is seen when the upper limbs are at rest by the side, and the effect of a strong pushing effort is not only to make the lower scapular angle more prominent, but also to tilt it slightly inwards (paresis of serratus magnus). There is no trace of any such weakness on the right side, and there is no evidence of weakness of the rhomboids. The power of the trunk muscles, as tested by efforts to raise the head and shoulders in the prone and supine positions, is regarded as normal. It is perhaps worthy of note that patient finds she can keep her balance much better in walking when her hands are placed over the front of her chest than when they are allowed to hang at her sides. The abdominal and epigastric reflexes are well marked. Cranial Nerves.—i. Smell is preserved. ii. V.A. Kight and Left each about This defect may perhaps be explained by the hypermetropia or hypermetropic astigmatism which is recognised by the ophthalmoscope. No hemianopia. Fundi normal. Examination of the visual fields shows only a slight restriction in the outer parts. iii. , iv., and vi. The functions of these nerves may be regarded as normal. The pupils are equal and somewhat large ; each contracts directly and consensually to light; each contracts in convergence of the visual axes ; and each dilates when the skin of the neck is stroked, either on the same or on the opposite side. Occasional slight jerks are seen when the eyeballs are moved laterally, but this scarcely amounts to nystagmus. There is no diplopia. V. Motor function apparently normal, but difticult to investi- gate because of the difficulty in making patient understand instructions given. Common sensation in the region of this nerve normal. Taste is not very acute. Thus, while she recognises bitter and to some extent salt and acid solutions, she is scarcely able to recognise a sweet taste. vii. There is a slight flattening of the left naso-labial furrow, but no other evidence of weakness of the muscles of