The Journal of Nervous and Mental Disease, Vol. 52
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Produktbeschreibung
Excerpt from The Journal of Nervous and Mental Disease, Vol. 52: An American Journal of Neurology and Psychiatry, Founded in 1874; July December 1920 Historia Morbi. - D. P., a child of the feminine sex, was born on January 26, 1910. The first child of the mother, being in transverse presentation, was born by version and extraction; the second child was born by the same manipulation; the third and the fourth child were born spontaneously, but the fifth, our patient, being in transverse position, was again born by version and extraction. The doctor, when summoned, stated a first cross-presentation (dorso-anterior) and a prolapse of the umbilical cord and of one arm; the dilatation of the os externum was 7 cm. The child lived; version and extraction were performed, and by Müller´s method, the after-coming shoulders were delivered. The head offered some difficulties, the child was asphyctic and was revived with some difficulty. The method used was not stated. Three days post partum, the mother noticed three ulcers on the child´s rump, which grew rapidly larger and deeper. Soon afterwards she observed that the child moved its legs only feebly. According to the mother, the child had never been seen to move its lower legs, feet or toes, but she is -sure that the child could flex the thighs on both sides, though only weakly. She had not tested the sensibility, but the child, when 1¿ years old, had burned its lower leg seriously, without feeling any pain. Though it grew up prosperously (except for the lower extremities, of course) and appeared to be very intelligent, it continued to show a complete incontinentia alvi et urinæ. July 2, 1912: On account of the paralysis of the legs and the decubitus, the child was brought to hospital on September 11, 1912. Of the status præsens, I have found the following notes: The head and the arms are quite normal. Intellect also normal. Motility. - The legs are spastic and paretic, both can be moved very weakly (unfortunately it was not noted what muscles still functioned). Walking and standing quite impossible. Reflexes. - The knee and ankle-jerks of both sides are greatly exaggerated. The phenomenon of Babinski is positive on both sides. Sensibility. - The tactile sense does not seem to have been examined (perhaps the child was too young to give correct answers). Pain sense not completely lost in the legs, but much decreased. Thermic sense lost in the legs and the gluteal region. Deep sensibility not examined. Large and deep bedsore on the sacrum. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
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