Notes on a case in which certain symptoms of syringomyelia followed enteric fever / by John Brownlee.

  • Brownlee, John, 1868-1927.
Date:
[1912?]
Catalogue details

Licence: In copyright

Credit: Notes on a case in which certain symptoms of syringomyelia followed enteric fever / by John Brownlee. 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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    Reprinlid from the “Glasgovj Medical Journal,” November, 1912.'] NOTES ON A CASE IN WHICH CERTAIN SYMPTOMS OF SYRINGOMYELIA FOLLOWED ENTERIC FEVER.i By JOHN BROWNLEE, M.D., D.Sc. Spinal affections following enteric fever are comparatively rare. In a few instances spinal meningitis is associated with cerebral meningitis, but such cases are only occasionally observed. The lesion most commonly seen and described is that known as “ typhoid spine,” but even of this affection only two cases have been noted in the Glasgow hospitals during the last twelve 5^ears. These were described by Dr. Andrew Love in a former number of this Journal} In this affection great pain occurs in the back—so great that movement is practically impo.ssible. Associated with this are symptoms of incoordination in the legs, ankle-clonus, and exaggerated knee-jerks. The affection as I have seen it has followed attacks of the disease of considerable severit}^. After a lengthy convalescence it apparently completely disappears. The pathology is quite obscure. I am inclined to think, however, that it must be associated with typhoid nodes occurring inside the spinal canal. These nodes are not very infrequent. They occur usually, as far as I have seen them, from the fourth to the seventh week after the onset of the fever, and commonly during convalescence. When on the more superficial bones they can easily be palpated as periosteal thickenings which are very tender to touch. A single node is quite frequent, but multiple nodes are often observed. I have seen them on most of the long bones of the limbs, on the ribs, and on the thoracic 1 Read at a meeting of the Meclico-Chirurgical Society of Glasgow held on 24th November, 1911. ^ Glasgow Medical Journal, December, 1906, p. 423.