Case of progressive atrophy of the muscles of the hands : enlargement of the ventricle of the cord in the cervical region, with atrophy of the gray matter: (hydromyelus) / by William Gull, M.D.

  • Gull, William Withey, Sir, 1816-1890.
Date:
[between 1800 and 1899?]
Catalogue details

Licence: Public Domain Mark

Credit: Case of progressive atrophy of the muscles of the hands : enlargement of the ventricle of the cord in the cervical region, with atrophy of the gray matter: (hydromyelus) / by William Gull, M.D. 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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    CASE OT? PROGRESSIVE ATROPHY 03? THE MUSCLES OF THE HANDS: ENLARGEMENT OF THE VENTRICLE OE THE CORD IN THE CERVICAL REGION, WITH ATROPHY OE THE GRAY MATTER: (HYDROMYELUS). By WILLIAM GULL, M.D. The following case is given as a contribution to the patho- logy of progressive muscular atrophy/' Three classes of cases are as yet confused together under this term, and its synonym, wasting palsy. Progressive, or perhaps better, excessive muscular atrophy, may arise from primary lesion of the muscular elements—or from lesion of the trunks or branches of the nerves—or from morbid changes in the gray matter of the cord. It is the difficulty of distinguishing the primary seat of disease in each of th ese classes of cases, which has led to exclusive, and there- fore erroneous views of their pathology, one observer main- taining that progressive muscular atrophy is always a peripheral affection, whilst another asserts that it has constantly a centric or spinal origin. Besides the forms here enumerated, there is a fourth class, in which muscular nutrition fails from a morbid diathesis,