The image contains the following text:
body; yet the exceptions are frequent, and are to be borne in
mind. He also affirms that a lesion of the third nerve, pro-
ducing paralysis of the eyelid, was, in six cases, on the same
side with the lesion of the brain, in five on the opposite; paralysis
in the muscles of the eyeball in eight cases on the same side, in
four on the opposite; and paralysis of the iris in five cases on
the same side, and in five on the opposite.
In the British and Foreign Medico-Chirurgical Review of Jan-
uary, 1850, Dr. Gull further states the facts which have fallen
under his own observation, as regards paralysis of the third
nerve, as follows: 1. Pupil largest on the same side of the dis-
ease in the brain; vision being lost. 2. Eyes turned from the
paralyzed side. 3. Ptosis on the side opposite to the paralysis
of the extremities and the face. 4. Though no obvious affec-
tion of the iris or recti may exist, yet a patient may turn his
eyes most readily from the affected side, and open the eye the
widest on the side of the paralysis. Hence he concludes, that
when the third nerve is implicated in ordinary hemiplegia, and
is affected cither slightly or considerably, it is the nerve of the
same side villi the lesion that sujfcrs; whilst the paralysis of
tlic facial nerve, and still more uniformly the paralysis of the
spinal nerves, is crossed. These latter propositions, so far as
they relate to the portio dura, wc should say, however, are still
doubted, by many learned pathologists.
When examining cases of supposed cerebral paralysis, we
usually find that in a portion of the cases, the electro-muscular
contractility of the palsied muscles is more or less diminished;
that the muscles of such are soft and flaccid; that the polarity
of the nerves is diminished. Whereas, in another portion of
these patients, wo find the electro-muscular response is unnat-
urally exalted; and these are the very cases, according to Dr.
Todd, that present " rigidities" and probably have an existing
irritative lesion of the brain. Then there is a third portion,
although fewer in number, where there is no difference in this
respect to be observed between the healthy limb and the para-
lytic limb. The following rule is thus deduced by the aid of
electro-muscular contractility, and all cases of paralyzed mus-