Is a brachial monoplegia always most marked in the hand? / by G. Bergmark.

  • Bergmark, Gustaf, 1881-
Date:
1910
Catalogue details

Licence: In copyright

Credit: Is a brachial monoplegia always most marked in the hand? / by G. Bergmark. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    ©dgtnal Hrttcle IS A BRACHIAL MONOPLEGIA ALWAYS MOST MARKED IN THE HAND? By G. BERGMARK, M.D., Docent, Upsala. From the Medical Clinic of the University. One of the most important points as regards the differential diagnosis between a cortical and a capsular lesion is no doubt the distribution of the paralysis. In the former case mono- plegias are more apt to occur on account of the extensive area of projection, either as a simple monoplegia, one extremity only being affected, or as an associated monoplegia, of which there are two types : a brachio-crural and a brachio-facial type. In the latter case a hemiplegia is always the result (Marie and Guillain). Further, it is considered characteristic of a cortical, in con- tradistinction to a capsular lesion, that the coarse power of the hand is less affected than the isolated movements of the fingers and the power of the hand to carry out associated movements (Marinesco, No'ica, Wernicke). It is generally considered (Monakow, Oppenheim and others) typical of a paralysis of cerebral origin, which may be due to a cortical or a capsular lesion, that the functional disturbance preponderates in the distal portion of the paralysed extremity, although it may involve the most proximally situated muscles, as in cases reported by Clavey. Thus when the paralysis affects