Opera minora : a collection of essays, articles, lectures and addresses from 1866 to 1882 inclusive / by Edward C. Seguin.
- Edward Constant Seguin
- Date:
- 1884
Licence: Public Domain Mark
Credit: Opera minora : a collection of essays, articles, lectures and addresses from 1866 to 1882 inclusive / by Edward C. Seguin. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
600/708 page 586
![in two attacks ly iodide of potassium. W. R. B., set. twenty-nine years. Re- ferred by Dr. Agnew, July 16, 1878. Former health poor. Tobacco and beer used to excess ; intense dyspepsia, with cardiac disorder and abdominal parsesthesia; catarrh of bladder; im- paired memory. Positively denies syphilis. July 2d.—While camping in the woods, awoke with paresis of left third nerve (ptosis and diplopia), which rapidly became complete paralysis. No other symptoms. Galvanism and iodide were employed, and strychnia hypo- dermically. July 20th.—In last two or three days a numbish feeling began in feet and has extended to middle of the thighs ; legs weak ; aching pains from sacrum to feet. At times finger tips are also numb. No vesical weakness. No patellar tendon-reflex. Was ordered, Squibb's fluid extract of ergot, dry cups to spinal region, and rest in bed. Optic nerves normal. About the beginning of August the right third nerve also became paretic, and then paralytic symptoms in legs and arms were the same ; they were all signs indicating a lesion involving the crura cerebri. Ergot was continued, and iodide of potassium added to the treatment. August 27th.—Very much improved ; walks quite well ; arms seem weak to patient, but he can squeeze 59° with right and 53° with left hand. Both third nerves better ; images nearer together ; less dizziness. Has been taking more iodide and less ergot of late. Uses galvanic current to hands and eyes. Or- dered : cease ergot and increase iodide from present dose of forty-five to sixty drops three times a day. 31st.—Improving. Right internal rectus nearly normal; can open left eye better. At times a trifle of numbness in outer part of feet. In spite of sixty drops of solution of iodide three times a day his digestion is better than for a lono- time. To continue iodide, and to take 4. of dialyzed iron at bedtime. September 7th.—Right eye moves noi-mally; left nearly well ; internus and levator palpebra; are weak. Ordered: Continue sixty drops of the solution of the iodide t. i. d. [also other remedies for nervousness]. 12th.—Goes to the country nearly well ; left third nerve still paretic. Iodide to be decreased by two drops each day. Galvanic application to be kept up to the eye. Takes also quinine, iron, digitalis. 23d.—Advised by letter to resume sixty drops of solution of the iodide. December 11 til.—Patient was in statu quo ; free from jiaralytic symptoms except in distribution of left third nerve. Is now taking tliirty drops three times a day. Also bichloride of mercury .004, in elixir of calisaya, three times a day. During the spring and summer of 1879, the left third nerve varied in its condition, and the dosage of iodide was varied accordingly, ranging from twenty to sixty drops t. i. d. He had it most of the time, and it never pro- duced any disagreeable effect. There was no return of paretic symptoms in the limbs. Nov. 7, 1879, Mr. B. again came under observation. The left eye was as before, and he had some new symptoms. Slight numbness in the deep and superficial branches of the left trigeminus (including tongue). Two or three](https://iiif.wellcomecollection.org/image/b21077435_0600.jp2/full/800%2C/0/default.jpg)
