Isolated Paraesthesia in the Distribution of the Nervus Cutaneous Femoris Externus

&NA JC
1895 Journal of Nervous and Mental Disease  
PERISCOPE. 313 her from being about; in the severe ones there is great prostration accompanied with severe vomiting and lasting from twelve to eighteen hours. The pain is mostly in the temporal region, and is not preceded by an aura. The ordinary therapeutic measures, including the synthetic analgesics, are of but little service. Four years ago she had an attack of severe epigastric pain which came on unheralded and spontaneously, and unaccompanied by any other manifestations of gastric
more » ... of gastric disturbances. At first it came every day, lasted a few hours and disappeared suddenly. No attributable cause could be found. The migraine never occurred during this time. After a few mouths the epigastric pains ceased and the migrainous pains recurred, then later yet their disappearance and a reappearance of the epigastric attacks. The writer considers the epigas¬ tric pains the equivalent of the migraine. J. C. Cerebral Sclerosis Following Influenza.-Rendu (Sem. Med , December 26, 1894). The author relates two cases which he has diagnosed as cerebral sclerosis, in which the appearance of the symptoms were consecutive to an attack of influenza. The first patient, a young man, had a transitory attack of hemiplegia while suffering from the grip, and after recovery from the latter, he remained quite well for about four months, when he began to complain of difficulty in walking and headache, which at first suggested cerebellar disease, but later was attributed to neurasthenia. These S' mptoms disappeared after a few months duration, and were fol¬ lowed by symptoms suggesting astasia abasia. These in turn lasted a few months and were followed by tremor of the hands and head, exaggera¬ tion of the knee-jerks and nystagmus, which the writer thinks points to a disseminated cerebral sclerosis. The second case related by the author occurred in a child who was taken with epileptic convulsions while suf¬ fering from post grippal tonsillitis. The epileptiform attack was fol¬ lowed in turn by a left side hemiplegia, from which the child recovered with the usual remains of muscular atrophy and increased myotatic irri¬ tability. The writer believes that the latter case was one of localized encephalitis, which was followed by a localized sclerosis. J. C. Isolated Parsesthesia in the Distribution ofv the Nervus Cutaneous Femoris Fxternus. -Bernhardt (Neurolog. Centrblt , March 15, 1895). The author first refers to a previous article, in which he pointed out the occurrence of a double sided degenerative neuritis of the ulnar nerve following on typhoid fever. In that article he said that he had seen not-infrequently cutaneous paresthesia in the region of ulnar distribution follow typhoid fever. He now says that since that time he has opportunity to verify this peculiar manifestation after typhoid, occurring in the distribution of the external cutaneous nerve of the thigh. He gives the history of a military physician, who had for many years complained of abnormal sensations on the outer side of the left thigh. This did not hinder him very much in ordinary walking, but it was so troublesome in long marches that he sought discharge from service. In his youth the patient had typhoid fever, and since then, the parsesthesia. Several other cases are referred to, and in conclusion the author states that all his cases have been in men of middle life who have complained of abnormal sensations, almost always a feeling of numbness" in the anterior and outer surface of the thighs. Sensations which are increased, especially by long marching and by pressure such as that of a scabbard on the involved region. Spontaneous pain when the patient isquiet, such, for instance, as frequently occurs in neuralgic conditions, is not complained of. Motility in the affected leg remains unaltered; Occasionally an accompanying condition is a slight disturbance of the functions of the bladder and rectum. The objective disturbances of sensibility are very slight, and the author has never found a true anaesthesia. Besides typhoid as a causative condition of this parsesthesia,. other factors, such as lead poisoning, application of cold, such as;
doi:10.1097/00005053-189505000-00023 fatcat:345u5yzsxvcutpxvocxnowkw7q