The relation of the patellar tendon-reflex to some of the ocular reflexes found in general paralysis of the insane / by Charles A. Oliver.

  • Charles Augustus Oliver
Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: The relation of the patellar tendon-reflex to some of the ocular reflexes found in general paralysis of the insane / by Charles A. Oliver. 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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    1. In some of the cases in the second stage of the disease, especially when the patellar tendon-re- flexes were unequally exaggerated, there appeared to be an irregular and unequal spastic innervation of the two irides, causing irregularities in pin-point pupil- forms. 2. In a few cases, especially in the third stage of the disorder, when the patellar-tendon reflexes were unequally diminished, and the pupil size was small and the pupillary shape somewhat irregular, the iris seemed to be but little acted upon by any powerful mydriatic/ 3. In many cases, especially in comparatively young subjects in the third stage of the disease, when the patellar tendon-reflexes were unequally diminished, there appeared to be an unequal para- lytic innervation of the two irides ; the pupillary dilatation manifesting itself at times, though not as a rule, in the eye with the greater amount of ob- jective optic-nerve-head degeneration and retinal change. 4. In a few cases (especially in men of middle life) in the third stage of the disorder, when the patellar tendon-reflexes were markedly diminished and when the ataxias were quite pronounced, there were marked temporary asymmetries of pupillary form, one pupil often being quite small and irregu- lar for several examinations, whilst its fellow was large and ovoid or oval. 1 In several such cases there were marked depressant eflFects. with grave constitutional symptoms, produced by single instilla- tions of ^ and ^ grain of neutral sulfate of atropin in the con- junctival cul-de-sacs.