Three cases of nervous disease / by T.K. Monro, M.A., M.D., Physician to the Glasgow Royal Infirmary.

  • Monro, Thomas Kirkpatrick, 1865-
Date:
[1901]
Catalogue details

Licence: In copyright

Credit: Three cases of nervous disease / by T.K. Monro, M.A., M.D., Physician to the Glasgow Royal Infirmary. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    neck are powerful, and patient is able by an effort, when he is asked to do so, to make the back quite straight, at least when he is sitting in bed. He is quite unable, however, to maintain the sitting posture for any length of time, and tends to fall backwards and to the right. The power of raising the head from the bed, when the body is in the prone position, seems to be rather less than normal. There is no lateral curvature of the spine. There is no detectable atrophy or pseudo-hyper- trophy of any set of muscles. A certain amount of intellectual defect is present. Patient states that when he left school a year ago he was in the fifth standard. Whether this is correct or not, his arithmetic is now very rudimentary, and he fails to answer correctly such a question in multiplication as 7 times 5. Another feature in his case is the defective power of atten- tion, which is readily recognised in course of conversation with him. He is slow to answer questions, partly perhaps through lack of attention and partly through lethargy of mental pro- cesses. He is very emotional. Although his sjjeech is somewhat slow, there appears to be no defect in articulation as regards words or letters. There is no tremor of the tonoue. O Cranial Nerves.-—i. Smell appears to be acute, but it is difficult to investigate on account of the mental defect. ii. Vision—Pdght, vV; Left, also about O.E. normal. iii. , iv., and vi. There is no strabismus. Patient speaks of having once seen an object double, but no reliance can be put upon his statement. Nystagmus is present in well-marked degree on lateral movement, and to a less degree on upward movement of the eyeballs, but not spontaneously. Each pupil contracts directly and consensually to light. The pupils also contract in convergence. They are medium-sized and equal. V. Taste in front of the tongue for sweet, salt, and bitter is preserved. vii. Facial movements normal. viii. Hearing good. ix. , X., xi. No symptoms referable to these nerves. xii. Tongue normal.