West Bay City, Mich., March ^4, 1889.
To the Editor of the New York Medical Journal :
Sir : I take the liberty of reporting a case of prolonged ges-
tation, thinking it may be of interest to some of your many
readers. price erythromycin india
Mrs. order erythromycin B., aged twenty-six years, in excellent health, was mar-
ried on the 28th day of March, 1888. Excitement brought on
the menstrual flow on the same day, one week earlier than ex-
pected. She had always been regular. The flow continued for
five days. On the 14th of April she consulted me regarding purchase erythromycin her
condition, relating her symptoms as dizziness, faintness, and
squeamishness of the stomach, more particularly on first arising
in the morning, but she did not vomit food till the latter part of
June. She felt a sense of numbness in the upper and lower
extremities. I diagnosticated the case as one price erythromycin gel of pregnancy.
She did not menstruate again. She felt life cost erythromycin topical on the 22d of Au-
gust, and gave birth to a girl, weighing 12^ pounds, on the 18th
of February, 1889, at 10 p. m. The os had been dilated to the
size of a 25-cent piece for two weeks previous to her confine-
ment, and she suffered a great deal of pain in the back and an-
teriorly for two months previous.
Eeckoning cost erythromycin ophthalmic ointment her period of gestation from the ail vent of the
symptoms, April 7th, to February 18th, both included, makes
318 davs. D. A. MoTavish.
Iroccetrings ai Societies.
NEW YORK NEUPvOLOGICAL SOCIETY.
Meeting of March 5, 1889.
The President, Dr. Georor W. Jaooby, in the Chair.
Hemiplegia with online erythromycin Unusual Associated Movements.— Dr.
B. Sachs presented Case No. II, occurring in a child, which he
had described at the last meeting of the society. The associated
movements of the paralyzed hand in this case were remarkably
similar to cost erythromycin eye ointment the voluntary movements made by the sound side,
even to the minute reproduction of the process of buttoning the
Focal Lesions of the Temporo-sphenoidal Lobe, with
Symptoms of Forced Movements.— average cost erythromycin Dr. Charles L. Dana
reported two cases. The first was a case of abscess of the right
temporal lobe, occurring in a woman of thirty- two years. It price erythromycin ophthalmic ointment
resulted from a fall on the head, and developed slowly in the
course of two years. The notable symptom, aside from head-
ache and a hysterical mental state, was sudden forced move-
ments, causing the patient to fall backward and price erythromycin philippines to the right.
She was continually falling out of bed on the right side, and
would sometimes perform manege movements. She had died
suddenly. The autopsy had shown an old circumscribed ab-
scess of the third and fourth right temporal convolutions, with
a recent hremorrhage into the cavity, bursting into the lateral
The second case was one of focal meningo-encephalitis, caus-
ing deep and extensive softening of the second and tiiird right
temporal convolutions. The patient, a man of buy cheap erythromycin forty, had been
brought into the hospital in a price erythromycin ointment condition of delirium. A cost erythromycin ophthalmic history
had been obtained of an apoplectic stroke a year before. Since
then he had had frequent attacks of dizziness and muscular
twitchings, during which he would fall always forward and to
A third case of abscess of the right temporal lobe, cost erythromycin gel recently
reported in the " Provincial Medical Journal," was cited, in
which the patient had frequently staggered to the right.
Physiologists had found a number of parts of the brain
irritation of which caused forced movements — . gr., the cortex
cerebri, the basal ganglia, the cerebellar peduncles, etc. Pa-
thologists had found in cases of forced movements lesions
chiefly in the cerebellar peduncles, especially in the middle ; but
there were a few observations showing such disturbances from
lesions of the parietal lobes. It had been suggested that the
temporal lobes contained representations of our sense of space
and appreciation of changes in bodily position. It might be
that the right lobe was especially concerned. There was some
«^^?'iori how much does azithromycin cost probability that the vestibular or space-sense root of
the eighth nerve and the cochlear or auditory root were con-
nected with neighboring areas in the brain cortex. Anatomic-
ally it was known also that the temporo-occipital lobe was
connected by a bundle of fibers with the pons nuclei and the
Dr. L. C. Gray said it was true that the auditory nerve sub-
served the senses of hearing and space, and it was quite true
that deaf-mutes were never seasick, yet lesions of the temporal
lobe thus far had produced only word-deafness. These cost of erythromycin 500mg were
lesions of the first and second convolutions. We now knew
that the auditory nerve had connections with the cerebellum.
Such profound disturbances as existed in the speaker's cases
were generally due to disease of the cerebellar peduncles or of
the semicircular canals. Autopsies seemed cheap erythromycin to have excluded
cerebellar lesion, but no mention was made of any examination
of the internal ear to see if the canals were normal. The speaker
referred to a case of his own with lesion of the temporal lobe
with neither word deafness nor loss of equilibrium. If his con-
clusions were correct, he had opened up a new cost erythromycin field in brain
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