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“It may be said, without reserve, that this work is the most clear, concise, and complete text-book upon diseases of the nervous system in any language. And when the large number of such works which have appeared in Germany, France, and England within the past ten years is considered, this implies high praise."— The American Journal of the Medical Sciences.
THE SECOND EDITION OF VOL. II OF THIS WORK,
DISEASES OF THE NERVOUS SYSTEM
W. R. GOWERS, M.D., F.R.C.P., F.R.S.
HOSPITAL FOR THE PARALYZED AND EPILEPTIC
REVISED AND ENLARGED
DISEASES OF THE NERVES AND SPINAL CORD
WITH ONE HUNDRED AND EIGHTY ILLUSTRATIONS, INCLUDING
THREE HUNDRED AND SEVENTY FIGURES
P. BLAKISTON, SON & CO.
1012 WALNUT STREET
LANE MEDICAL LIBRARY
Nore. --The illustrations of which the source is not stated are original, and
part of the copyright of the book.
PRESS OF WM. F. FELL & co, 1220-24 SANSOM STREET,
The delay that has occurred in the appearance of this volume is due to the amount of work that has been expended upon it, and the time this has necessarily taken. The whole book has been thoroughly revised; many parts have been re-written; and additions have been made, the extent of which is shown by the fact that the volume is increased in size by about 150 pages. These additions, besides those in every chapter and on almost every page, include new sections on Multiple Neuritis (extending over 50 pages), Beri-beri, Brachial Neuritis, Senile Paraplegia, Morvan's Disease, and the Peroneal Type of Muscular Atrophy, as well as extensive additions to the account of the Functions of the Spinal Cord and the Symptoms of its Diseases, of Syringomyelia, Tumours, Muscular Dystrophy, Traumatic Lesions, &c. An attempt has been made to incorporate the results both of the author's personal experience, and also of the observations and investigations of others, during the past five years, especially those that are of chief importance and have yielded definite facts, either of present significance or future promise. In making these alterations and additions, the special aim of the work, as stated in the Preface to the first Edition, and especially the needs of both the student and the practitioner, have constantly been kept in view.
For most useful and able assistance in the revision of the later portion of the book, I have to thank Dr. Risien Russell. To Dr. James Taylor I am also indebted for similar help, and also for the new and more extensive index, which must facilitate the use of the book.
W. R. GOWERS.
50, QUBEN ANNE STREET, LONDON
PREFACE TO THE FIRST EDITION.
This volume contains the first part of an attempt to give an account of diseases of the nervous system, sufficiently concise to be within the compass of the time-pressed student or busy practitioner, and yet adequate in its outline of a subject which has become wide and deep beyond any other part of medicine. Success in both aims can scarcely be more than approximate.
Most of the illustrations are printed from blocks prepared from original drawings by phototype processes, and I am indebted to Messrs. A. and W. Dawson, of the Typographic Etching Company (by whom most of the work has been done) for the care they have taken in the reproduction.
The casual reader may perhaps miss subsidiary letters in the illustrations of the lesions of the spinal cord. The omission of these is intentional. A knowledge of the structural topography of the cord is the first requisite in the study of its morbid anatomy, and when this knowledge is gained, the figures will be understood without difficulty. Familiarity with unlettered illustrations facilitates the comprehension of sections of the spinal cord.
QUEEN ANNE STREET, LONDON ,