. The practice of pediatrics. hypertrophy. (Early case.) gressively involved; and as the paralysis extends, it may affect theflexors and extensors of the forearm, and eventually the triceps and del-toid and other shoulder muscles. The claw-hand deformity is com-mon. After several months the paralysis may become bilateral, involv-ing the trunk and rarely the leg muscles, or it may even develop intoa bulbar palsy. The paralysis in the hand type of atrophy is usuallyatonic and flaccid, but may assume a spastic character, with exaggeratedreflexes, thus simulating amyotrophic lateral sclerosis. The
. The practice of pediatrics. hypertrophy. (Early case.) gressively involved; and as the paralysis extends, it may affect theflexors and extensors of the forearm, and eventually the triceps and del-toid and other shoulder muscles. The claw-hand deformity is com-mon. After several months the paralysis may become bilateral, involv-ing the trunk and rarely the leg muscles, or it may even develop intoa bulbar palsy. The paralysis in the hand type of atrophy is usuallyatonic and flaccid, but may assume a spastic character, with exaggeratedreflexes, thus simulating amyotrophic lateral sclerosis. The varyingdegrees of atony and spasticity are many. In most cases fibrillarycontractions occur. Electric responses are diminished and partialor complete reactions of degeneration may be elicited. Complete re-actions of degeneration belong, as a rule, to cases of rapid course. Oc-casionally rheumatoid pains and local paresthesias occur, but sensorydisturbances are for the most part lacking. THE PROGRESSIVE MUSCULAR ATROPHIES 509. Fig. 71.—Pseudomuscular hypertrophy.
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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren
