General paralysis : a critical review of the literature of the subject, to which is appended an analysis of the case of John S. Blackburn, in which insanity was alleged as a means of defense / by D.A. Morse.
- Morse, D. A. (David Appleton), 1840-1891
- Date:
- [1874]
Licence: Public Domain Mark
Credit: General paralysis : a critical review of the literature of the subject, to which is appended an analysis of the case of John S. Blackburn, in which insanity was alleged as a means of defense / by D.A. Morse. 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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![FIRST DEGKEE. The i>ai-alyeis commeuces almost always by declaring itself ia the muscles of the tongue; very often it remains confined there a long time before extending elsewhere. The patient shows difficulty of speech, pronounces badly, or slowly the words, stammei-s more or less; the tongue thrust from the mouth is not drawn more to one side than the other, and seems generally affected. Other j)henomena are soon joined to thia. If the patient can give an account of his condition, he com- plains, may he of one. side only, or of both sides at the same time, of numbness in the extremities, a feeling of pricking, of formication in the hands, the feet and along the tracts of ner^'cs ; pains in the head more or less general, sometimes more or less* fircumscribed, and ordinarily upon the opposite side from the paralysis, sometimes nevertheless the same side ; movement be- tiomes less easy, slower; the patient ends by being able to serve himself no longer with but the members of one side. All tbe other functions may be regular, digestion above all very goo^. fat is not diminished. This first degree may last a long tiniQ, iixamj years, without the general health appearing to suffer. ,, SECOND DEGREE. The patient is entirely paralyzed u])on one lialf of the body., or both; he can neither walk or hold himself erect. He i^ forced to confine himself to the bed continually; he can pro- nounce but few words; intelligence is annihilated. Fat Mocj? not yet disappear ; digestion is good. The sigas which indiciatij <;hronic irritation present themselves ordinarily at this period- the pulse shows frequency, hardness; in the afternoon the cheeks color up; there is thirst. This second degree may lant •^onie months, a year or more.](https://iiif.wellcomecollection.org/image/b22279167_0017.jp2/full/800%2C/0/default.jpg)
