Untersuchungen �ber die Dauer der Innervationsstille (silent period) nach monosynaptischen Reflexen (Eigenreflexen) und nach antidromer Reizung

Schoen, H

doi:10.1007/bf00413112

Cited by 7 publications

(1 citation statement)

References 11 publications

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“…3 ). P. Hoffmann, 16 Fulton,11 Schoen,28 and Schenck 27 have demonstrated that the dura¬ tion of the silent period depends upon the background of voluntary or involuntary ac¬ tivity. In animals this silent period is thought now to be due in part to a recurrent inhibition of the alpha motoneurones by the activation of the Renshaw cells (nuclei intermedii of Cajal).…”

Section: Special Features Of Localized Tetanus In Manmentioning

confidence: 99%

Local Tetanus in Man

Strüppler¹

1963

Arch Neurol

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Tetanus may be one of the easiest or of the most difficult diagnoses in medicine. The sequence of injury, followed within a few days by fleeting spasm and muscular contraction near the wound, and then trismus, diffuse hypertonicity, and violent spasmodic contractions of the neck, trunk, and limb muscles, terminating in generalized convulsions and in some cases death, is the familiar picture of generalized tetanus. In contrast, twitching, localized fluctuating or intermittent spasm (often painful) in muscles of some part of the body, without known injury or wound, are usually not recognized as localized tetanus; or such symptoms may be mistaken for some other condition such as hysterical spasm, tetany, extrapyramidal rigidity, dystonia, or spasticity. Only the accidental discovery of tetanus bacilli, the later appearance of a mild trismus, or the subsidence of spasm over a period of weeks or months may provide clues to the true nature of the affliction. These latter cases of localized tetanus are particularly common in individuals who possess some resistance to the tetanus infec¬ tion, usually as the result of immunization, or who have suffered minor wounds into which only a few organisms have been intro¬ duced. Our clinical experience would suggest that illnesses of this type are more frequent than generally appreciated and may pass undiagnosed for want of reliable clinical and laboratory tests.In the course of our studies of a few cases of localized tetanus in man, we have observed a number of phenomena which have been helpful in diagnosis. One of these, to which one of the authors (RDA) has called atten¬ tion, might be designated as "recruitment Received for publication Sept. 12, 1962. From the

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Section: Special Features Of Localized Tetanus In Manmentioning

confidence: 99%