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July 1936


Author Affiliations


From the Department of Nervous and Mental Diseases, Northwestern University Medical School.

Arch NeurPsych. 1936;36(1):42-57. doi:10.1001/archneurpsyc.1936.02260070050005

Marked edema localized to the paralyzed side in cases of hemiplegia arouses curiosity and stimulates inquiry concerning the mechanism of its causation; it particularly raises the question of the existence of cerebral vasomotor centers of contralateral dominion. The literature on hemiedema in cases of hemiplegia has been relatively meager. In 1899 Parhon and Goldstein stated that they had observed hemiedema eight times in eighty-seven cases of hemiplegia. Pierre Marie in 1901 wrote that although congestion and fulness of the paralyzed hand were often observed in cases of hemiplegia, genuine edema limited to the paralyzed side sometimes occurred. He stated, "J'en ai moi-même observé plusiers cas" [I myself have observed several cases], and thus indirectly implied its rarity. Dejerine, in speaking of edema sometimes encountered on the paralyzed side in cases of focal cerebral lesions, wrote: "Il s'agit là du reste d'un phénomène rarement observé" [It is, moreover, a phenomenon rarely

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