. Diseases of the nervous system : for the general practitioner and student. ced. Tic of the Neck.—Sudden and repeated rotation, flexion or extensionof the head will be noticed according to the muscles involved. Theflexors are more frequently affected than the extensors. Tic of the neckis frequently associated with tic of the face or of the shoulders. TIC 509 Torticollis in the form of tic (mental torticollis of Brissaud) or spas-modic torticollis may present itself as sudden simple rotatory movements,rotation with flexion or rotation with extension. The tic may consist of asingle movement or


. Diseases of the nervous system : for the general practitioner and student. ced. Tic of the Neck.—Sudden and repeated rotation, flexion or extensionof the head will be noticed according to the muscles involved. Theflexors are more frequently affected than the extensors. Tic of the neckis frequently associated with tic of the face or of the shoulders. TIC 509 Torticollis in the form of tic (mental torticollis of Brissaud) or spas-modic torticollis may present itself as sudden simple rotatory movements,rotation with flexion or rotation with extension. The tic may consist of asingle movement or of a series of successive movements. Among allthe muscles of the neck the sterno-mastoid is the most frequently the contraction the face is turned to the opposite side, the head isinclined on the same side and the ear touches the shoulder. When theupper part of the trapezius and splenius muscles are involved, togetherwith the sterno-mastoid, the head, besides being inclined, is also drawnbackward. When the muscles of the anterior part of the neck are in-. Eig. 156.—Spasmodic Torticolis. Patient Seen in Attempt to Correct Position of Head. volved (which is rare), the head falls forward so that the chin touches thechest. Rotatory tic of the head is often combined with elevation of theshoulder. The patients frequently complain of pain or of a drawing sensationin the neck. This is of course due to the repeated muscular , physical and mental, decreases the intensity of the tic. Fatigueand emotions increase it. The patients use all sorts of subterfuges to 510 TIC remove the torticollis. The most frequent attitude is to keep a finger onthe chin. The onset of the affection is usually insidious. The diseaseoriginates from some false position adapted at first for the purpose ofrelieving pain in the neck or from unavoidable positions in certain occu-pations which require special gestures or, as some pretend, from visualdisturbances. The act is repeated


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectnervous, bookyear1913