. A treatise on nervous and mental diseases, for students and practitioners of medicine. then grasps histhighs higher and higher, and so, as Gowers says, by climbing nphis thighs he rises to the erect posture. Gowers considers thissymptom ])athognomonic, and I am inclined to agree with him. Themuscles will also be found to be increased in size in varying degree,as is shown in Figs. 141, 142, and 143. Tlie u]jper extremities, and also the muscles of the neck and face,are rarely affected. The hypertroj^hied muscles are weak, as can bedetermined by testing them in the proper way (p. 152). There 2
. A treatise on nervous and mental diseases, for students and practitioners of medicine. then grasps histhighs higher and higher, and so, as Gowers says, by climbing nphis thighs he rises to the erect posture. Gowers considers thissymptom ])athognomonic, and I am inclined to agree with him. Themuscles will also be found to be increased in size in varying degree,as is shown in Figs. 141, 142, and 143. Tlie u]jper extremities, and also the muscles of the neck and face,are rarely affected. The hypertroj^hied muscles are weak, as can bedetermined by testing them in the proper way (p. 152). There 286 NERVOUS DISEASES, are no sensory, mental, rectal, or vesical symptoms is generally a lumbar lordosis, the spine being curved antero-posteriorly. The disease is a chronic one, lasting for many years,usually terminating, however, between twenty and twenty-five, andseldom lasting until forty years of age. Muscular atrophy is fre-quently conjoined with the muscular hypertrophy, and it is notunusual to find limited or general atrophy of the npper extremities Fig. Photograph ot case of pseudo-hypertrophic muscular paralysis, with absolutehelplessness of hypertrophied lower extremities. in conjunction with hypertrophy of the lower. The patient gener-ally goes on to a condition of perfect helplessness. The boy repre-sented in Fig. 143, chubby and handsome and ruddy as he appears,is absolutely unable to move a muscle of his lower extremities fromthe trunk down, and has been for years in this helpless the boy in Fig. 142 was not, when I saw him last, quite sohelpless as this, he still was unable to get up from the floor or achair without assistance. When death occurs, it is the result of inter- NEURO-MUSCULAR OR MUSCULAR DISEASES. 287♦current maladies which are greatly aggravated by the weakness ofthe trunk muscles. Pulmonary affections are, therefore, especiallydangerous to these individuals. The difficulty in going up stairs is mainly due to
Size: 973px × 2570px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1800, bookdecade1890, bookidtreatiseonnervou00gray
