Peripheral neuritis in exophthalmic goitre / by Arthur Maude.

  • Maude, Arthur.
Date:
[1894]
Catalogue details

Licence: Public Domain Mark

Credit: Peripheral neuritis in exophthalmic goitre / by Arthur Maude. 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.

    1/18
    fl ■ L.XV' V^9 Jt9« 7 PEEIPHERAL NEURITIS IN EXOPHTHALMIC GOITRE. In the paper I read at the opening meeting of the London Medical Society in October, I endeavoured to pro- duce evidence, purely clinical, that peripheral neuritis was a common epiphenomenon in exophthalmic goitre. In the discussion which followed, the only notice which was taken of what was at any rate a novel point, was a direct statement from a well-known neurologist that he did not see any reason for supposing that neuritis was ever present. May I, therefore, ask to submit my views to a more highly trained audience of neurologists in these pages ? I was at the time quite unaware of Professor Green- field’s late researches in the microscopical anatomy of exophthalmic goitre j1 and it is premature to criticise them in detail, as they are still incomplete. I pointed out, however, that no examinations, after modern methods, have yet been made of the peripheral nerve trunks ; and I still look to such examination to show changes comparable to the so-called multiple neuritis produced by various toxic agents. The symptoms I ground my supposition on are :— (1) The frequent occurrence of “ cramp.” Hr. Hector Mackenzie,2 who first drew attention to it, found it present to some degree in thirteen out of fifteen instances, a pro- portion I can verify from my own experience. These pain- ful contractions often assume the form of veritable “ tetany,” both of hands and feet. It is needless, since the publication BY ARTHUR MAUDE. 1 “ Bradshaw Lecture,” 1893.