Interstate medical journal (1917) (14596998750)

Identifier: interstatemedica2419unse (find matches)

Title: Interstate medical journal

Year: 1917 (1910s)

Authors:

Subjects: Medicine

Publisher: St. Louis, : Interstate Medical Journal

Contributing Library: The College of Physicians of Philadelphia Historical Medical Library

Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

Text Appearing Before Image:

e of any value neurotologically, as the slightest technical errormay render the tests absolutely worthless. Aside from the dis-covery of the two separate tracts from the canals and the explana-tion of past-pointing after stimulation, probably the greatest con- 62 INTERSTATE MEDICAL JOURNAL tribution of the Philadelphia school has been the systematizingof the Barany tests. In their chart are first noted spontaneousphenomena—nystagmus looking in different directions, pointing,vertigo, falling, Romberg, turning head to right and to left, goni-ometer, and attempt to overthrow. In observing spontaneous nys-tagmus, the patient is told to look to the right, then to left, thenupward, and finally downward. The type of nystagmus, amplitude,direction, and position of eyes when observed, are all noted. Inobserving pointing, the examiner first stands in front of patientwith index finger held firmly with the other hand. The patient istold to point with index finger and touch examiners finger with

Text Appearing After Image:

1 6 Pig. 8.—Transverse section through the crura cerebri, showing the red nucleus(1) and the superior portion of the corpus quadrigemina (2). At 3 is theoculomotor nucleus. This nucleus consists of several distinct groups of cellslying on the floor of the aqueduct (4) close to the middle line. It is justdorsal to the posterior longitudinal fasciculus (5). Anteriorly are seenfibers of the oculomotor nerve (6). eyes closed after the arm has been placed in the touchingposition by the examiner. First the arm with movement fromabove is tested; then the forearm is tested by having the el-bow either rest upon the chair arm or pressed against body;next the wrist is tested by having the hand hang over theback of a chair; next the arm is moved from in front to the side andthen from side to front. Pointing may also be tried with legs,head, and trunk, but this is not necessary in routine work. Whena normal individual in the Romberg position is gently pushed toeither side, forward or backward, h

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1917

The College of Physicians of Philadelphia and the National Endowment for the Humanities

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