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May 1924

THE NEUROLOGICAL ASPECT OF LEPROSY ("SPEDALSKHED").

Arch NeurPsych. 1924;11(5):620. doi:10.1001/archneurpsyc.1924.02190350126013

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Abstract

Twenty years ago another Norwegian author, H. P. Lie, wrote a monograph in German on leprosy of the spinal cord and peripheral nerves. Monrad-Krohn who is professor of neurology in the University of Christiana, brings the subject up to date in the present monograph written in English. Perhaps the most interesting original observations relate to the cranial nerves. The trigeminal and facial nerves are most frequently involved. In the case of the former the sensory portion is much more frequently involved than the motor branch and loss of sensation occurs with every imaginable dissociation of the different qualities. The upper branch of the facial nerve is affected more frequently and more intensely than the lower one and usually on both sides. There is an unusual amount of hypotonia, with the development of ectropion in most cases. When the orbicularis oris is similarly affected there is a corresponding condition which may

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