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January 1922

A MORE ACCURATE CLINICAL METHOD OF DIAGNOSIS OF PERIPHERAL NERVE LESIONS AND OF DETERMINING THE EARLY RECOVERY OF A DEGENERATED NERVE: WITH REPORT OF CASES AND EXPERIMENTAL DATA

Author Affiliations

Professor of Clinical Neurological Surgery; Research Fellow in Neurological Surgery, 1919-1920, 1920-1921 Washington University Medical School ST. LOUIS

Arch NeurPsych. 1922;7(1):58-88. doi:10.1001/archneurpsyc.1922.02190070063004
Abstract

Introduction.

Description of instrument by Professor Pyle.

Physiologic principles of muscle and nerve muscle reactions based on a consideration of the literature.

Clinical application of chronaxie.

Discussion of other methods.

Relation of induced waves of opening and closing.

Experimental data.

Clinical cases.

Discussion.

Summary and conclusions.

INTRODUCTION  Since surgeons and neurologists primarily have had to deal with the large number of peripheral nerve injuries resulting from the late war, there has been an unusual number of investigations carried on to determine the underlying principles of nerve regeneration and the best methods of treating them. The physiologic and anatomic features of nerve degeneration, as well as the surgical methods to correct them, have been studied particularly by Howell,1 Huber,2Ranson,3 Vanlair,4 Kilvington,5 Sherren,6 Lewis,7 Langley,8 Pollock,9 Tinel,10 Athanassio Bénisty11 and others. Few of the researches have combined the physiologic and

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