The treatment of facial paralysis : with special regard to nerve friction / by Edgar F. Cyriax.

  • Cyriax, Edgar F.
Date:
1912
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Licence: Public Domain Mark

Credit: The treatment of facial paralysis : with special regard to nerve friction / by Edgar F. Cyriax. Source: Wellcome Collection.

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    Pa he te ry J as q A Ligdany | Sow THE TREATMENT OF FACIAL PARALYSIS, WITH SPECIAL REGARD TO NERVE FRICTION BY EDGAR F. CYRIAX, M.D. (Edin.) LONDON Facrat paralysis may be supranuclear, due to lesions in the cortex; nuclear, due to lesions of the actual nucleus; or infranuclear, from involvement of the nerve in its tortuous course within the pons, or through the wall of the skull, or just at its exit. Now, the routine treatment of such cases by means of electricity in its various forms, supplemented by massage of the facial muscles, and in some cases combined with the administration of nerve tonics (e.g., strychnine, ete.), is the one almost universally adopted by the medical profession. Nevertheless, there exists another form . of treatment, 1.e., that of “nerve friction” } according to the method of Henrik Kellgren, which, in combination with certain other manipu- lations, is a most valuable therapeutic agent, sufficiently so to justify me in bringing it into prominent notice. All the more do I wish to give my experiences in view of the fact that although this method has been in existence for over forty years, and has been employed by those who practised it continually during the whole of this period, it appears to be almost unknown to the profession at large. On the other hand, however, it must be admitted that this is largely due to the meagreness of the literature on the subject; indeed, the only descriptions of nerve friction which aim at detailed information that have appeared in print are those by A. Kellgren? and the author.® 1Care must be taken not to confuse this name with that form of rubbing or massage of the skin also called “ friction,” but which is quite distinct from it. 2 Stat. San.-Ber. d. K. K. Kriegsmarine fiir 1888, pp. 141-185, and “ Technic of Ling’s System,” 1890. =“ Elements of Kellgren’s Manual Treatment,” 1903, and Cyriax and Kell- gren-Cyriax, New York Med. Journ., 1910, 171.
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