Identifier: treatiseonner00sach (find matches)
Title: A treatise on the nervous diseases of children, for physicians and students
Year: 1905 (1900s)
Authors: Sachs, Bernard, 1858-1944
Subjects: Nervous system Children
Publisher: New York, W. Wood and company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
ntire subject. His observations were preceded,however, by those of Trousseau, who had observed thedisease in nursing women, and assumed a connection be-tween tetany and the function of lactation. He thereforetermed it contracture rheumatismal des nourrices, butlater on he observed the trouble in children and in adultswith intestinal obstruction, and so abandoned the lactationtheory. It was Trousseau who first discovered the veryimportant fact that these attacks could be excited by com-pression of the arteries and nerve-trunks of the affected ex-tremity. Our knowledge of this disease has been enhanced by theobservations of Chvostek, Koppe, Baginsky, Von Jaksch,Bernhardt, and Escherich. The most comprehensive articleson the subject have been written by Weiss, of Vienna, in1881, by Frankl Hochwart and by Escherich. TETANY. 157 Symptomatology.—The symptomatology of tetany in-cludes the symptoms to be noticed during the attack andthose during the period of latency. The attack is preceded
Text Appearing After Image:
Fig. 50.—Position of Hands in the Spasm of Tetany. (After Oppenheim.) by vague tingling pains, by formication in the hands, fore-arms, and legs; a feeling of stiffness soon follows, and subse-quently the spasm of the muscles sets in. This tonic spasm 158 THE NERVOUS DISEASES OF CHILDREN. occurs more frequently in the upper extremities, and givesrise to such a marked rigidity of the muscles that passivemovements are for the time being impossible. The positionof the hand during the spasm will necessarily vary accord-ing to the groups of muscles affected. It is a commonoccurrence for the hand to assume the shape of theaccoucheurs hand. Occasionally also the thumb is veryfirmly pressed upon by the flexed fingers and the nails areburied in the skin of the palm. In some rare cases there iscomplete extension of all the fingers. The forearms are gen-erally flexed, and the upper arms closely pressed against thechest. If the lower extremities are involved the thighs maybe adducted, the legs e

Note About Images