A note on excessive patellar reflex of functional nervous origin, and especially the 'trepidation' or 'spinal epilepsy' form / by F. Parkes Weber.

  • Frederick Parkes Weber
Date:
1908
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Licence: In copyright

Credit: A note on excessive patellar reflex of functional nervous origin, and especially the 'trepidation' or 'spinal epilepsy' form / by F. Parkes Weber. 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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    than It Is In organic cerebral disease (faecal vomiting praotl- oally never oocnrs In organic brain disease) 1 cannot under- stand, unless It be that disturbance of function can show Itself In a more pronounced form In a brain without any gross organic disease than It can in a brain the finer mechanism of wblob has already been impaired by severe organic disease, such as cerebral tumour. In connexion with such a supposi- tion one may remember that a delusion Is apt to be less stable (and not so well organized) In a general paralytic, whose brain is the site of grave organic disease, than in a patient with chronic paranoia, whose brain, could It be examined, would probably show no obvious organic changes.” In conclusion, I maintain that in functional nervous vomiting we probably have to deal with a peculiar functional change In the brain (cortex), analogous to the cerebral condition that produces the exaggerated tendon reflexes and “ trepidation ” of functional nervous origin, and which, like It, may be excited or modifled by emotional factors, and Is analogous to certain states induced by toxaemias—such as uraemia. The symptoms produced by these abnormal functional states may equal or even exceed those produced by organic disease. References. Spontaneous Symmetrical Ecchymoses of the Eyelids and Con- lunotivae, with Extraordinary Exaggeration of all the Tendon Reflexes preceding Fatal Uraemic Coma, British Journal of Derma- tology, September, 1906, p. 323. ^ Trophic Disorder of the Feet, British Journal of Dermatology, Februair, 1901, p. 41. s Faecal Vomiting and Reversed Peristalsis in Functional Nervous Disease, Brain, Summer, 1904, p. 170.