. A text-book of medicine for students and practitioners . in a whisper. Hysterical mutism quite rarely follows hystericalaphonia. The patients entirely lose voluntary contiol of their speech ap-paratus, and finally heconie completely dunih. We will also mention hereliysterical slammerinu-, altlu)u<j:h it should more ])roperly be classed with lliespasmodic hysterical syiii|ii(»iiis. Tlie voluntary quiet innervation of tlie mus-cles of articulation is atfected, so that the speech is altered in the most peculiarwav. hy needless sj)asmodic attendant movements, grimaces, etc. We haveverv often
. A text-book of medicine for students and practitioners . in a whisper. Hysterical mutism quite rarely follows hystericalaphonia. The patients entirely lose voluntary contiol of their speech ap-paratus, and finally heconie completely dunih. We will also mention hereliysterical slammerinu-, altlu)u<j:h it should more ])roperly be classed with lliespasmodic hysterical syiii|ii(»iiis. Tlie voluntary quiet innervation of tlie mus-cles of articulation is atfected, so that the speech is altered in the most peculiarwav. hy needless sj)asmodic attendant movements, grimaces, etc. We haveverv often observed such hystericaldisturbances of speech (stammeringor mutism), especially in children(as a result of fright). A loss ofthe power of writing may sometimesbe associated with (he dumbness inan interesting way. Hysterical ])aralysis of degluti-tion is much less frequent thanparalysis of the vocal cords. Ifthere be tlysphagia, it is often notan easy matter to determine whetherit is due to pai-alysis or to spasmwhich comes on at any attempt Fig. 219.—Hysterical contracture (from Bour-NEViLLE and Regnards Iconographiede la Salpitrit^re).
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