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DELAYED PARALYSIS OF NERVES FROM A SINGLE MUSCULAR CONTRACTION

DELAYED PARALYSIS OF NERVES FROM A SINGLE MUSCULAR CONTRACTION That peripheral nerves may be rendered incapable of conduction of voluntary impulses by indirect trauma of the type known as muscular action is too well known to merit stress; but that such paralysis may result from a single muscular compression, and especially that the paralysis may appear hours to weeks after the trauma, are facts that seem to have been largely overlooked by clinicians for years. Clinical records of such cases were included by Weir Mitchell in his book,1 and Remak2 made a special point of delayed paralysis. Bernhardt3 included the syndrome in his monographic account of neuritis, and more recently Jokl and Guttmann4 reported a relatively large series of cases occurring in sportsmen. Mitchell5 stated: As a rule, contusions, unless violent, do not cause immediate symptoms of loss of function. A little numbness and tingling may succeed to the first shock of pain, and only http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

DELAYED PARALYSIS OF NERVES FROM A SINGLE MUSCULAR CONTRACTION

NIELSEN, J. M.
JAMA , Volume 113 (20) – Nov 11, 1939
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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1939 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1939.02800450023006
Publisher site
See Article on Publisher Site

Abstract

That peripheral nerves may be rendered incapable of conduction of voluntary impulses by indirect trauma of the type known as muscular action is too well known to merit stress; but that such paralysis may result from a single muscular compression, and especially that the paralysis may appear hours to weeks after the trauma, are facts that seem to have been largely overlooked by clinicians for years. Clinical records of such cases were included by Weir Mitchell in his book,1 and Remak2 made a special point of delayed paralysis. Bernhardt3 included the syndrome in his monographic account of neuritis, and more recently Jokl and Guttmann4 reported a relatively large series of cases occurring in sportsmen. Mitchell5 stated: As a rule, contusions, unless violent, do not cause immediate symptoms of loss of function. A little numbness and tingling may succeed to the first shock of pain, and only

Journal

JAMA – American Medical Association

Published: Nov 11, 1939

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