An inquiry concerning the nature and causes of the disease described by Cruveilhier as progressive muscular atrophy : a thesis for an act for the degree of M.B. in the University of Cambridge / by James Shuter.

Shuter, James, 1846-1883

Date:: 1875

Credit: An inquiry concerning the nature and causes of the disease described by Cruveilhier as progressive muscular atrophy : a thesis for an act for the degree of M.B. in the University of Cambridge / by James Shuter. 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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$current, those of the forearm do slightly to 60 Daniel cells. Interossei do not respond. Present State.—Temperature 985°; respiration ]8; pulse 68, fair volume, regular; face natural; skin warm ; bowels regular. Has considerable wasting of extensors and flexors of both forearms and muscles of hands, mains en grilFe. Eight upper arm 8^ in. circumference; left is 9| in. His right pectoral muscles are more wasted than the left, and he is right-handed. Some want of fulness of scapular muscles. Elsewhere his muscles are healthy, and his general health is good. -In this case— I. The wasting followed directly upon the cramps {i.e., excessive involuntary use) and in those muscles only which were cramped. II. The cramps came at a time when there was evidence that his system was loaded with uric acid, which was probably the source of irritation on the nerves causing the cramps. III. The rapidity of wasting was proportional to the excessive uses. Firstly, because the mu^les remained violently contracted for some hours. Secondly, because those muscles wasted the most which were the most violently and the longest contracted—viz., those of the right side, although he was right-handed. IV. His muscles quickly attained their raaxi-$