Identifier: diseasesofnervo00jell (find matches)
Title: Diseases of the nervous system : a text-book of neurology and psychiatry
Year: 1915 (1910s)
Authors: Jelliffe, Smith Ely, 1866-1945 White, William A. (William Alanson), 1870-1937
Subjects: Mental Disorders Nervous System Diseases
Publisher: Philadelphia : Lea & Febiger
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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thyroid have been devised. The most promising are thoseof Rogers and Beebe. PARATHYROID SYNDROMES. Tetany.—Corvisart first termed this tetanic in 1852. Frankl-Hochwart, in 1887, clarified this conception, and since his strikingdescription the term tetany has had universal recognition. It is highly probable that tetany must be regarded as an exampleof hyperfunctioning of certain peripheral parts of the motor mechanismin which altered muscular excitability is secondary, while specialvegetative neurological features, namely, parathyroid metabolism,plays the primary role. Symptoms.—Tetany has, as its main symptoms, tonic, intermittent,bilateral, often painful cramps, which, without, for the most part,any loss of consciousness, involve the muscles of the upper extremities,particularly the hand, which is held in the obstetrical position. Themuscles of the lower extremities may also be involved, those of thelarynx, of the face, and of the jaw, seldom those of the chest, abdomen. PLATE V
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Objects Removed from Stomach of Patient Suffering fromGastric Tetany. (Warbasse.) TETANY 153 neck, diaphragm, or tongue. In rare cases the eyeball muscles areimplicated, as is also the bladder. In the sensory sphere paresthesiaand pains are present, while hyperesthesia occurs now and then.Pressure upon the brachial plexus may give rise to an attack (Trous-seau) ; hyperexcitabilit) to electrical currents is present (Erb); mechan-ical hyperexcitability of the muscles and motor nerves is observed(Chvostek), while the sensory hyperactivity to mechanical andelectrical stimuli is also present (Hoffmann). The psyche is rarelyuninvolved, and following operative removal there has developedextreme anxiety with the sense of impending dissolution. In chronic and repeating forms secretory and trophic disturbancesoccur, such as increased perspiration, reddening of the skin, swellingsof the joints, mild edema, falling out of the hair and nails, discolorationof the skin, urticaria, and herpes. Dyspne

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