On deafness, giddiness, and noises in the head / by Edward Woakes.

  • Woakes, Edward, 1837-1912.
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: On deafness, giddiness, and noises in the head / by Edward Woakes. Source: Wellcome Collection.

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    herpes, atrophy of slciu and muscles, blotches of conges- tion, local ulcers, ^yasting and curvmg of the nails, intense neuralgia, accompanied with such complete contraction of the joints of the fingers and the wrist, that a peculiar claw-hke appearance is imparted to the hand, very characteristic of these injuries. We cannot stay to trace out the steps leading to each of the conditions just mentioned,* it being sufficient for our purpose to state that the symptoms in question are estabhshed by impressions ]proceeding from the injured vaso-motor fibres accompanying the siDinal nerves, and reflected from then- centre to the nervi vasorum, and to the direct consequences of these reflected stimuh on the cahbre of the vessels to which they are distributed. These, and many parallel facts, supply the data by which to arrive at the true method of explaining ob- scure sympathetic symptoms. I have formulated the conclusions arrived at in the following axiom:—In the first place it is necessary to trace the source of the nervi vasorum supplying the vessels of the structure sympathetically, or rather reflexly, affected; then as- certain then- association with the vaso-motor nerves proceeding in an afferent dhection fi-om the tissue iu which is seated the original lesion. This association will be found to consist in a communication of twigs from the vascular nerves with a gangUon, while the nerve proceeding to the region primarily affected wiU be found in connection with this ganghon. * The reader wlio may be iutorested in tliis subject is referred to the final chapter of the vol. for further details respecting it. The material and facts there given were first published by the author in an article iu the Jour, of Cut. Med., 1867.