Organic and functional nervous diseases; a text-book of neurology . Themuscles closing the eye are very rarely paralyzed. The lower musclesof the face and of the tongue are in a state of constant fibrillary con-traction causing a fine tremulous, wavy movement of the skin andmucous membrane. As the facial muscles atrophy a partial reactionof degeneration can be obtained. The paralysis of the muscles ofmastication leads to an inability to close the jaw, which makes itnecessary for the patient to support it by the hand. The tongue in its 618 BULBAR PAEALYSIS. final state of paralysis lies on the
Organic and functional nervous diseases; a text-book of neurology . Themuscles closing the eye are very rarely paralyzed. The lower musclesof the face and of the tongue are in a state of constant fibrillary con-traction causing a fine tremulous, wavy movement of the skin andmucous membrane. As the facial muscles atrophy a partial reactionof degeneration can be obtained. The paralysis of the muscles ofmastication leads to an inability to close the jaw, which makes itnecessary for the patient to support it by the hand. The tongue in its 618 BULBAR PAEALYSIS. final state of paralysis lies on the floor of the mouth, cannot be putout or moved about, the soft j)alate hangs motionless and does notrise in speaking or in swallowing; hence fluids return through thenose. In some cases the oculomotor nuclei become affected and variousforms of strabismus and double ptosis develop. Thus in the patientsshown in Figs. 258 and 259 there was not only a paralysis of thefacial muscles and of the tongue, but double ptosis with paralysis of allthe muscles of the Fig 259.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectnervoussystem, bookye
