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Updated: June 15, 2025
Other cranial nerves, particularly the oculomotor and the hypoglossal, may also be implicated. A remarkable feature of this condition is that although the muscles are irresponsive to ordinary physiological stimuli, they are thrown into spasm by the abnormal impulses of tetanus. Trismus. This term is used to denote a form of tetanic spasm limited to the muscles of mastication.
In treating parts subject to cramp while the spasm is not on, give them, along with other parts of the system, general tonic treatment, as directed on page 95. This elevates and equalizes the electro-vital action, and relieves the difficulty. For traumatic trismus, use the B D current, of vigorous force. Let the wound be kept open and clear, except that soothing emollients may be applied.
This is substantially the same thing as trismus, except that it extends to other parts, and often to nearly all the muscles of the organism. Under ordinary treatment, it is almost invariably fatal. I am not aware that it has been sufficiently submitted to our electrical system to determine satisfactorily the question of its amenability to it.
Certain cases of hæmorrhage into the lateral ventricles of the brain also simulate tetanus, but an analysis of the symptoms will prevent errors in diagnosis. Cerebro-spinal meningitis and basal meningitis present certain superficial resemblances to tetanus, but there is no trismus, and the spasms chiefly affect the muscles of the neck and back.
From this it appears that the trismus is the trismus: but he observes with the greatest modesty that if science knows that the trismus is the trismus, it is entirely ignorant of the cause of this nervous affection, which comes and goes, appears and disappears "and," he adds, "we have decided that it is altogether nervous." "Is it very dangerous?" asks Caroline, anxiously. "Not at all.
In an article on the successful preventive treatment of tetanus neonatorum, or the "scourge of St. Kilda," of the new-born, Turner says the first mention of trismus nascentium or tetanus neonatorum was made by Rev. Kenneth Macaulay in 1764, after a visit to the island of St. Kilda in 1758.
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