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Excerpt from A Case of Traumatic Brachial Neuralgia, Treated by Excision of the Cords of the Brachial Plexus All apparently went on well until about three weeks after the accident, at which time pain showed itself in the range of distribution of the ulnar nerve of the injured side. In a few days this pain became constant, and assumed an extreme character, extending to the thenar eminence, and affecting the minimus and annulus fingers severely, the medius moderately: the pain was a cutting and tearing one. From that period neuralgia has been the predominant symptom, depriving the patient of rest, exhausting him physically, and quite breaking down his moral tone. Meanwhile, the wound resulting from the amputation of the thumb had partially healed, but no union had taken place between the fractured bones. On the eleventh of August the patient was brought to this city, and was attended by Dr. Salvatore Caro. Under this gentleman's care, narcotics, morphine, chloral, chloroform, were judiciously administered, but the controlling cfi'ect of these drugs was very fugitive the moment that the patient awoke from artificially produced sleep, the neuralgic pain in the hand and fingers reappeared with extreme violence, and caused the sufferer to groan and shriek. The wound caused by amputating the thumb rapidly healed, and the burn likewise cicatrized in greater part. From day to day the pain seemed, however, to grow worse, and the patient's strength and -moral tone to fail. He became so irritable that the dressing of the wounds was a most difficult matter, inasmuch as he thought move ment of the shoulder and arm increased his suffering. On the 14th of August, Dr. Caro called Dr. Sands in consultation, and the other author of this report was allowed by the courtesy of these gentlemen to take part in the examination. The following memorandum is a copy of notes taken shortly after the consultation by Dr. Seguin. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
