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preserved ^impaired, says, " I find myself inclined towards the
common opinion of hemorrhage, and yet I feel at times that there
are powerful reasons for suspending this judgment — reasons that
I derived from the nature of the paralytic accidents themselves.
Besides, I remember to have heard M. Rccamier teach — and I
have since observed it to be so myself—' that, when there is dis-
sonance among the symptoms in this class of grave cases, they
are due to ramollissement; while, on the other hand, we must
conclude that hemorrhage exists where there is a consonance
in the paralytic phenomena.'" There is force in the distinc-
tion laid down by Rccamier, and it remains demonstrated, at any
rate, that a sudden paralysis of a portion of the body may bo
the result of a ramollissement.
Tlie " Electric Test" of Paralysis.
We may fairly conclude now, that all cases of cerebral paral-
ysis presenting for treatments — say a few months after the
causing attack — can be pretty clearly and reliably arranged, by
aid of the electro-magnetic test, into three classes, two of
which are not as yet suitable for this treatment, while the one
and larger class of patients, i. c., where the " electro-muscular
contractility " is diminished from the healthy standard, we may
very reasonably hope for a still further restoration, by the aid of
electro-therapeutics, or even a complete cure, if at once treated
and skilfully managed.
Again, we may conclude that there is no kind of paralysis,
where we find exalted electro-muscular contractility, except in
those cases where the paralysis is maintained by an irritative
lesion in the brain ; and the greater the irritative brain lesion,
the more marked is the electro-responsive phenomenon in the
affected muscles, to the given moderate current.
Again, we must not conclude, on the other hand, that all lesions
of the brain are necessarily irritative, unless showing for months
or more, and to the present time, exalted electro-muscular ex-
citability.
Again, if, on testing, we do find the muscles of a paralytic