Clinical Observation of Leprous Paralysis:(2) Leprous Paralysis of Facial Muscles
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The present paper deals with leprous paralysis of facial muscles, especially, on the rate of occurrence of leprotic paralysis and location of lesions of nerves.1) Statistics of 138 inpatients at Rakusenen:Rate of occurrence of paralysis of facial muscles was 53%. No difference was found by sex. Rate of paralysis in the upper half of face was higher than in the lower half.2) Paralysis of facial muscles was generally assumed to be due to disturbance in the periphery of the responsible nerves, and motor paralysis due to lesion in the trunk of facial nerve might be few.3) Clinical observation on 41 cases of various types, for motor function and skin sensitivity in the area innervated by the 3rd ramification of N. trigeminus:In spite of no motor paralysis of M. masseter, lost of skin sensitivity in the area controlled by the 3rd ramification of N. trigeminus was frequently found.Therefore, paralysis of that area may be caused by lesion of end-apparatus of the nerve or by lesion in the periphery of the 3rd branch.It is considered that motor paralysis develops from leprosy which starts at skin, spreads deeper and destroys nerves of that part. It is also considered that leprous lesion spreads to peripheral never by hematogenic dissemination. Moreover, it is assumed that ishemic contraction is another possible factor for leprous paralysis of muscle.
- 一般社団法人 国立医療学会の論文
一般社団法人 国立医療学会 | 論文
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