Transactions of the Section On Nervous And Mental Diseases of the American Medical Association At the Annual Session
Transactions of the Section On Nervous And Mental Diseases of the American Medical Association At the Annual Session
American Medical Association. Section On Nervous And Mental Diseases
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Walks well; no defect of gait or station. Power: Can close right hand, but cannot "register" on dynamometer (standard). Grasp in left hand registers 20 K. Moves right upper extremity freely at all joints, but has little use of hand; cannot oppose the thumb and fingers or make a "fist." Some "silver-fork aspect" of right hand and wrist. The right shoulder droops slightly. The left sternomastoid muscle is weak, but competent in turning head. Sensation: Good for tact, pain, heat and cold, everywhe...re in both hands and arms. Astereognosis complete of right hand, front and back, extending half way up forearm. Cannot recognize any difl'erence between a pocket knife, finger, coin or wisp of cotton with hand. Half way up forearm on flexor surface she recognizes a silver half dollar as "hard and flat." Some sensory defect in sole of right foot, where cotton and a finger touch feel "the same," but recognizes a touch with a "stick" (toothpick). "Tickle sense" good in both feet. Reflexes: Organic — No impairment.
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