A manual of diseases of the nervous system . usuallyconcealed by the trapezius, which is little involved. The deltoid is alsofrequently large ; the serratus rarely. The pectoralis is never enlarged,but, on the other hand, its lower half is wasted or absent (see p. 518)in a large proportion of the cases, and with this the latissimus dorsi,which has the same action in depressing the raised arm (see p. 26).The teres major may share the wasting of the latissimus. The other muscles of the arm suffer in diminishing degree and fre-quency from above downwards. The triceps and biceps are sometimes PSEU


A manual of diseases of the nervous system . usuallyconcealed by the trapezius, which is little involved. The deltoid is alsofrequently large ; the serratus rarely. The pectoralis is never enlarged,but, on the other hand, its lower half is wasted or absent (see p. 518)in a large proportion of the cases, and with this the latissimus dorsi,which has the same action in depressing the raised arm (see p. 26).The teres major may share the wasting of the latissimus. The other muscles of the arm suffer in diminishing degree and fre-quency from above downwards. The triceps and biceps are sometimes PSEUDO-HYPERTEOPHIO MUSCULAR PARALYSIS. 509 enlarged, the former more frequently than the latter, but occasionallyonly in one part. Both these muscles are sometimes wasted. The forearm muscles suffer inonly a tmall minority ofthe cases, and the intrinsicmuscles of the hand usuallyescape altogether. This escape of the intrinsic muscles of the hand affords a very marked contrast to spinal muscular atrophy, in ^™^... which they suffer early; but.


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectnervoussystem, bookye