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Nervous and mental diseases . Fig. 174.—Showing attitude, facies, deltoid,and calf deformities in a case of pseudohyper-trophic paralysis. Fig. 174 a.—Advanced case of progressive my-opathy, at one time marked by pseudohy per tro-phies. Observe facies, deltoid conformation, andcomparative integrity of hand and forearm. ner of rising are not disturbed. The sway-back may also disappearwhen the patient is sitting, or may then give place to a rounding of theback, the patient resting his elbows on his knees or otherwise gaininga fictitious support for the upper part of the trunk. The upper extremit
Nervous and mental diseases . Fig. 174.—Showing attitude, facies, deltoid,and calf deformities in a case of pseudohyper-trophic paralysis. Fig. 174 a.—Advanced case of progressive my-opathy, at one time marked by pseudohy per tro-phies. Observe facies, deltoid conformation, andcomparative integrity of hand and forearm. ner of rising are not disturbed. The sway-back may also disappearwhen the patient is sitting, or may then give place to a rounding of theback, the patient resting his elbows on his knees or otherwise gaininga fictitious support for the upper part of the trunk. The upper extremity is most affected by the impairment of the mus-cles of the shoulder-girdle. Next in frequency the brachial group isaffected, while the muscles of the forearm and hand are usually the lower extremity wasting rarely avoids the gluteal and psoas groupsand commonly affects the anterior crural distribution. The calf-mus-cles with the glutei furnish favorite locations for pseudohypertrophy,while the calf-muscles in a
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