erugopuq eurego
|
 |   Related post: cases out of the eighty-three the changes were con- fined to the territory of the external popliteal, and in twenty-three the internal popliteal, while in thirty- four the domain of both nerves was involved. There exists an evident contrast Revia 50 Mg between the sen- sitive and muscular disturbances of sciatica, the lat- ter being multiple, variable and proteiform, the for- mer only presenting variations in intensity and acuity. The discovery of radiculitis has led to the notion of radicular sciatica, whose reality is proved by the topography of the sensitive disturbances, muscular and reflex changes, as well as by the suc- cess obtained from epidural anesthetic injections and Revia Price the results of systematic lumbar puncture, which show that in more than fi^ty per cent, of the cases the cerebrospinal fluid is hyperalbuminous and usually with a discrete lymphocytosis. There there- fore is an Revia Cost unquestionable meningeal inflammatory process with occasionally a positive Wassermann. Sciatica is consequently dependent upon some irrita- tive action involving the radicular roots and sheaths in their intervertebral portion — the causal factor of almost all sciaticas, excepting in the very rare instances in which the roots are compressed in the true pelvis. The etiological factors of radiculitis are most fre- quently syphilis, tuberculosis, and paludism. but rheumatic sciatica cannot be excluded and holds a preponderant place. But the muscular syndrome forms an integral part in sciatica, it varies in im- portance according to the case; it cannot serve to create a distinction between sciatic neuritis and sci- atic neuralgia because they have the same etiological factors. Neuralgia is a temporary neuritis and neu- ritis is a neuralgia which is lasting. The indicative sign of the muscular s\-ndrome is the sign of the foot tip, which can be elicited in all cases of sciatica of any gravity. This sign consists in the patient not being able to raise himself on the tip of his foot on the diseased side, or if he does so, it is only momen- tarily. This phenomenon is due to muscular impo- tence and not to pain. The sign of the foot tip is of great value and is present in practically all cases of sciatica of any intensity. Its absence indicates integrity of the motor neuron and consequently a favorable prognosis. Its presence indicates the ex- istence of muscular lesions with commencing degen- eration. This sign persists for a long time after the painful phenomena have subsided. THE MANEU\RE OF THE LEG IN PARALYSIS. To the numerous signs at our disposal for dif- ferentiating organic palsies from those of pithiatic nature such as changes in the reflexes, and other signs, Prof. Barre, of Strasburg, has added a Buy Revia Online new- one that he caUs "the maneuvre of the leg." The subject lies on his abdomen on a table or bed ; the legs are bent at right angles on the thighs and after telling the patient to hold them in this position they are released. A normal subject will retain the legs EDITORIAL ARTICLES 1089 in a vertical position for some time without any difficulty, but when there is a paralysis or merely paresis from involvement of the pyramidal fasciculi, the leg on the affected side drops more or less quickly and suddenly and is more or less exempt from jerks, according to the intensity of the paraljtic process. In cases where the drop simply commences or is incomplete, the patient is asked to flex both legs on the thigh as far as he can and the bending will ordinarily take place more easily and more com- Discount Revia pletely on the normal side when there is a unilateral lesion. Finally, when both legs are flexed on the thighs an attempt is made to extend them while the patient is told to oppose the action. There will be an immediate Revia Online resistance on the normal side, while it will be delayed on the involved side. The semeilogical value of this sign may be sum- med up as follows : The maneuvre of the leg is positive in cases of organic paralysis or paresis resulting from a perturbation of the voluntary motor fasciculus — hemiplegia, hemiparesis, paraplegia, monoplegia and other affections — no matter what the nature and site of the cause of the paralytic dis- turbance may be. The sign is negative in cases Order Revia of pithiatic paralysis and likewise in paralyses depend- ent upon a lesion of the Buy Revia peripheral neuron on the condition that the less is not equivalent to division. In tabes dorsalis the leg does not maintain the verti- cal position for any length of time but it does not remain immovable; it is carried inward or outward, falls suddenly or becomes forcibly bent on the thigh. In the latter case, considerable resistance may be offered to extension. In cerebellar cases, even in those patients who require help to take a step, the maneuvre of the leg is absolutely correct. In the majority of paralyses dependent on pyramidal lesions, this diagnostic procedure coexists with other numerous signs. In some it will be positive when the other signs are negative and ordinarily Revia Buy it is the most faithful of all. It may greatly help in locating certain medullary lesions of the cauda equina or peripheral nerve, while its disappearance during the evolution of a paraplegia marks the com- plete return of the force of voluntary movement. THE TONUS OF AUTONOMIC SEGMENTS. Kempf asserts that the fundamental psychophysi- ological processes upon which health depends must be looked for in the postural tensions of autonomic segments which stimulate the proprioceptors buried in their tissues and the enteroceptors in the mucous membranes. These in turn give rise to the afferent streams of feeling or better designated the affec- tive cravings. These are evinced in our thought and behavior. Evolution from a simple organism has provided man with an autonomic and a projicient apparatus. The former consists of the organs of the \-arious systems, the sexual apparatus, the glands of internal and external secretion, and the ganglionic portions of the nervous system which regulate these. The function of the autonomic apparatus is the as- similation, conservation, transformation, distribu- tion and use of the energic products necessary to life and the elimination of waste. The projicient apparatus has been developed to serve the autonomic system and the cravings related to its various seg- ments and through the projicient apparatus the or- ganism adapts itself to the environment and appro- priates that which serves its needs. The skeletal and striped muscle systems, the exteroceptors, the intermuscular proprioceptors and Revia Tablets their cerebrospinal Related links: topamax buy online, Order Acular, Online Norvasc, Purchase Griseofulvin, Products With Benzoyl Peroxide, Lotrel Strengths, Toprol Xl Generic, Order Indomethacin, Ciprofloxacin Buy Online, Cozaar Hctz
|