This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1872 edition. Excerpt: ...nature, the phenomena of a large number of nerve wounds seem to make it probable that very soon after leaving the spine the nerves become grouped, as it were, with intention towards their final distribution. In no other way can we explain some of the phenomena which arise out of such cases; but even this ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1872 edition. Excerpt: ...nature, the phenomena of a large number of nerve wounds seem to make it probable that very soon after leaving the spine the nerves become grouped, as it were, with intention towards their final distribution. In no other way can we explain some of the phenomena which arise out of such cases; but even this resource does not suffice to make clear such a case as the following, nor yet others which I have seen, where, without obvious cause, a compound nerve being hurt, motion was lost and sensation merely enfeebled or preserved entire. In cases of contusion or compression of nerves, the first evidence of injury is usually some effect upon sensory filaments, and the mechanical influence may go very far before causing any notable motor indications, while as regards spasm, a nerve of double function may be slowly and gradually compressed to the utter loss of all function without any such muscular convulsion as may at any time originate under sudden variations in the amount of pressure. Case 31.--Shell wound affecting the musculo-spiral nerve; trivial loss of tactility; entire motor paralysis in the ultimate distribution of this nerve. B. Graham, aged twenty-two, enlisted September, 1861, 5th Battery, Massachusetts Artillery. He was previously healthy. On May 12, 1864, he was struck on the back and outside of the right arm by a piece of shell, which denuded, but did not break the humerus. The wound lay immediately below the deltoid insertion, and was five inches wide as it stretched across the arm, and three inches in diameter from above downward. The arm dropped, and he had sharp pain in the wound, so that he cried aloud. The after-pain was trifling. As he went to the rear, he examined the limb, and found that he could move his fingers a little, but that...
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