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July 1929

MULTIPLE SCLEROSIS: THE SENSATION OF AN ELECTRICAL DISCHARGE AS AN EARLY SYMPTOM

Arch NeurPsych. 1929;22(1):5-8. doi:10.1001/archneurpsyc.1929.02220010008002
Abstract

At a meeting of the New York Neurological Society held on Oct. 14, 1927, Dr. Wechsler1 presented a case of particular interest.2 The patient, a man, aged 24, presented two exceptional symptoms: (1) a peculiar sensation of an electrical discharge that radiated down the vertebral column into the lower extremities, and (2) myotonia, which appeared when the patient was asked to carry out a rapid movement with his left arm. A short time after the appearance of the sensation of electrical discharge, the symptoms of multiple sclerosis developed rapidly. These were: diplopia, spasticity, exaggeration of the deep reflexes, Babinski's sign, clonus, absence of abdominal reflexes, nystagmus and tremor. The results of the laboratory examination were negative. There was mild pallor of the left optic disk.

Dr. Wechsler's communication aroused a discussion in which Dr. Henry A. Riley, Dr. Louis Aronson and Dr. S. P. Goodhart took part. This

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