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A Case of Tumour of the Spinal Cord

A Case of Tumour of the Spinal Cord

Paperback

Medical Reference

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ISBN10: 1151639893
ISBN13: 9781151639899
Publisher: General Books
Pages: 60
Weight: 0.22
Height: 0.14 Width: 9.01 Depth: 5.98
Language: English
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1888 Excerpt: ...of the neural canal and its contents at the highest point that is suggested by any definite symptoms, and among such we should include even slight paresthesia. Pain of a constant dull aching character seated in one fixed point in the spinal column is of course most valuable as indicating the focus of disease, but caution is requisite here again, and unless the limitation of the pain is very distinct it would be best to regard it as of slight value. If, though slight, it is accompanied by a symptom of which very little notice is taken, to judge by records, but one nevertheless of great value, namely, a sensation of weakness felt by the patient at that point in the spinal column, and if this sensation, which is of course subjective, be heightened by fatigue, then it assumes a leading position among the localising symptoms. We may now proceed to consider1 the character of the pain with regard to its diagnostic value. Noting usual forms first we must begin with the subjective sensation of burning, which occurred as frequently as in five out of the fifteen cases in which the pain was carefully described. In Case 32 this was extremely marked, the patient complaining that the whole of the left side and lower limb appeared to be red-hot and burning. In another patient the pain was described as roasting. This consequently would appear to be an important fact to remember in dealing with painful conditions of the spine. The most frequent form of pain is that common to many affections, namely, shooting. In two instances it is described as pricking, in one as gnawing, and in one as stabbing, but little value attaches to solitary statements of this kind, especially as a full description is so seldom given. The next point is the relative amount of pain excited by the pres...

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