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April 1943

DISTURBANCES IN PAROTID SECRETION IN AN UNUSUAL NEUROLOGIC SYNDROME

Author Affiliations

NEW YORK

From the Neuropsychiatric Division of the Montefiore Hospital.

Arch NeurPsych. 1943;49(4):548-555. doi:10.1001/archneurpsyc.1943.02290160070005
Abstract

In this communication we wish to describe a method for measuring the disturbance in parotid secretion in an unusual syndrome involving the artery of the facial nerve—a branch of the anterior inferior cerebellar artery.

In 1901 Wallenberg1 reported the case of a 70 year old man who had sudden loss of consciousness preceded by a brief period of tinnitus in the right ear and itching of the nose. The period of unconsciousness lasted twenty-four hours; on recovering the patient complained of vertigo. Neurologic examination revealed bilateral involvement of the sensory fifth nerve; paresis of the right motor fifth nerve; paralysis of the right sixth nerve; paralysis of the right seventh nerve, of peripheral type, and partial deafness, right eighth nerve. Pain and temperature sensations were diminished on the left side down to the second dorsal segment. There was slight hyperreflexia on the same side. The clinical diagnosis was hemorrhage

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