By James W. Lance
A Physiological method of medical Neurology. related day transport. OOKS SHIPPED precedence AIRMAIL - This replica released 1970, xi 246p huge textile dj, index, bibliography, photogr plates, not often used, VG+, a clean and fresh copy.A Physiological method of scientific Neurology. James W. Lance. Hardback. gentle blue dirt jacket a few put on. Appleton Century Crofts major brown leatherette hardback. comparable day delivery. Copyright 1970 Mrs. Lance. 246 pages. isbn 0407358501.
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The cHnician determines the probable source by the history of evolution of weakness, whether steadily progressive or intermittent in its temporal pattern, the distri bution of muscles affected, and the associated cHnical signs. Physical weakness may be simulated by hysteria and the ways in which the two may be distinguished are considered at the end of a general survey of the various causes of weakness. 30 Paralysis or paresis 31 ASTHENIA T h e complaint of feeling generally tired and weak, without any more specific symptoms, is one of the most difficult problems in clinical medicine to assess and manage.
3) Cataplexy. H e r e a more gradual loss of posture follows laughing or other expression of emotion, caused by inhibition of descen ding reticulospinal pathways. Cataplexy is often associated with narcolepsy or 'forced sleep' which is caused by a similar wave of inhibition, this time affecting the ascending reticulospinal path ways. Cataplexy is an extension of the familiar sensation called 'weak with laughter'. The clinical approach to the problem of weakness 43 M o r e prolonged episodes of recurrent paralysis are produced by metabolic disorders such as h y p o k a l e m i a .
Melzack, R. and Wall, P . D . (1962). On the nature of cutaneous sensory mechanisms. Brain 85,331-356 40. Meyer, G. A . and Fields, H . L . (1972). Causalgia treated by selective large fibre stimulation of peripheral nerve. Brain 95, 163-168 4 1 . W. (1976). The gate-control theory of pain. A critical review. Brain 9 9 , 1 2 3 - 1 5 8 42. W. (1977). Pain. Brit. Med. Bull. 3 3 , 1 4 9 - 1 5 5 43. Phillips, C G . and Porter, R. (1977). Corticospinal neurones. Their role in movement, p. 450. London: Academic Press 44.