empt at, but no true, clonus; that is, passive flexion
of the foot causes two or three jerky movements. There is no glandular
swelling or tumor about the jaw or in the neck. Touch and pain-sense
are normal in the face and hands, but she complains of numbness in the
hands as if she had on tight gloves. There is no trouble in speaking,
chewing, or swallowing. There is no pain or rigidity in the neck
muscles. Examination of the pharynx reveals no disease of the bones.
Under specific treatment the patient improved."
Astasia-abasia was named by Blocq, who collected 11 cases. According
to Knapp, four cases have been reported in America. The disease
consists in an inability to stand erect or walk normally, although
there is no impairment of sensation, of muscular strength, or of the
coordination of other muscles in walking than the lower extremities. In
attempting to walk the legs become spasmodic; there are rapid flexions
and extensions of the legs on the thighs, and of the thighs on the
pelvis. The steps are short, and the feet drag; the body may make great
oscillations if the patient stands, walks, or sits, and the head and
arms make rhythmical movements; walking may become impossible, the
patient appearing to leap up on one foot and then up on the other, the
body and head oscillating as he advances; he may be able to walk
cross-legged, or by raising the legs high; or to walk on his hands and
feet; he may be able to walk at certain times and not at others; or to
hop with both feet together; he may succeed with great strides and with
the arms extended; or finally he may be able to use his legs perfectly
if suspended (Gray). There are various types which have been called the
paralytic, the choreic, and the saltatory. A tendency to go backward or
retropulsion has been observed, according to Gray, as has also a
tendency to go forward or propulsion. A curious phenomenon in this
disease is that the patient can use the legs perfectly well lying in
bed. The prognosis seems to be favorable.
Meniere's disease is a disease probably of the semicircular canals,
characterized by nausea, vomiting, vertigo, deafness, tinnitus aurium,
and various other phenomena. It is also called aural or auditory
vertigo. The salient symptom is vertigo, and this varies somewhat in
degree according to the portions of the ear affected. If the disease is
in the labyrinth, the patient is supposed to stagger to one side, and
the vertigo is paroxysmal, va
|