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current, as appearing from the foregoing, and so far as made
apparent by the galvano-tonic contractions, might be ascribed by
some to the production of a variable sensation of pain in some
cases ; but pain in other cases does not at all appear."
Dr. Remak says his own experience has led him to view tins
class of results produced by the current, in the muscle fibres and
through the nerve fibrils, as proceeding directly through and from
the central organs, entirely independent of any pain excited by
the current; and that there are also some other clear cases of
galvano-tonic contractions, whose origin is exclusively central.
To illustrate this he mentions the case of a woman who bad
been suffering for eighteen months with a complete hemi-
plegia of the right side, together with a total loss of speech, the
results of an apoplexia cerebralis which attacked her in childbed.
But after mentioning the various treatments she had received,
without any good results, he then proceeds to say that when
he caused a steady current of from twenty to thirty Daniell's
elements to be directed through the nerve cruralis, or its cuta-
neous branches, there appeared, after twenty to thirty seconds,
involuntary movements of the palsied hand and fingers, that con-
tinued as long as he retained the application. Then, again, the
same effects were produced from a similar treatment of the
nerve ischiaticus ! These effects were evidently not temporary,
but enduring, from the fact that the patient re-acquired by de-
grees the natural influence of the will over those extensor mus-
cles of the leg and arm, which up to that time had been totally
paralyzed ; and this bettering was all the more noticeable, as
he, from time to time, called forth contractions in the arm from
galvano-tonic reflex action " by an up-running current through
the nerve ischiaticus — alternated sometimes also with the cur-
rent run in the usual manner on the arm itself." He is of the
opinion that this kind of battery in-working, through the thigh
nerve, is of real and all the more peculiar influence for good,
from the distance and direction of the thus produced reflex
motions thnragh the rnotory apparatus and powers; as shown, too,
by the control the central organs afterwards permanently obtained
over the palsied limbs.