Traumatic Paralysis. muscles, the deltoid excepted, Traumatic in the dorsal surface were deep hollows from wasting of the interossei. It was six months before flexion Paralysis. and extension of the forearm were regained, and four years before the development of the muscles again equalled those of the uninjured side. Although there was complete restoration of voluntary power, there was return of farado-muscular contractility. Fig. 48 shows the arm one month after the accident, the deltoid is but slightly atrophied, but the arm and FIG. 49. no forearm But it is in these recent cases of traumatic paralysis that the interrupted voltaic current should be localized in the wasted muscles. Traumatic Infantile Para lysis. I have now under my care a gentleman who was sent to me by Sir James Paget. Five months ago, as the result of a stab which probably divided the supra-scapular and circumflex nerves, there was complete loss of power in the deltoid and supra and infra-spinatus muscles. Two months afterwards, when I first saw the patient, these muscles had almost completely wasted away. The electro-sensibility of the little muscular tissue that remained was greatly diminished, the contractility to faradism abolished, but that to the interrupted voltaic current from thirty cells of the BeckerMuirhead battery was retained. For the past two months I have daily applied the current from fifty cells; holding the sponge from the positive pole stationary upon the centre of the deltoid, and painting, as it were, every part of the affected muscles with the sponge from the negative pole for ten minutes. There has been a considerable return of power; the development of the wasted muscles is remarkable and the result of the treatment most satisfactory. Duchenne strongly advocates faradization in the essential paralysis of infancy, a disease to which he has devoted much attention. Under the term "infantile paralysis" many different forms of paralysis are liable to be included, but the variety now to be considered has the following history. It is characterized chiefly by motor paralysis occurring suddenly, by greater or less diminution of farado-contracti lysis. lity, by simple atrophy in various Infantile Para- Duchenne gives the following loss of consciousness, convulsions, lysis. Infantile Para- and paralysis of both legs occurred. In a month he could sit up, but there was no return of power in the legs and they rapidly wasted. There was never affection of the bladder or rectum. The state of the child eight years after the onset of the disease was as follows:-The skin literally adhered to the bones, as shown in figs. 51 and 52, engraved any from photographs. No reaction to faradism. He could neither move his toes, feet, or legs, and if he were set up upon his feet the joints flexed one upon another, as seen in fig. 51. But like all similar |