Nervous and mental diseases . Fig. 46.—Facial palsy of left sida 1, Bilateral attempt to raise eyebrows; 2, bilateral attempt to closeeyes; 3, smiling. to the sound side. The platysma on the same side is invariably eye on the paralyzed side can not be closed nor the eyebrow attempts to close the eyes the eyeball on the affected side turns up-ward and cannot be controlled. Winking is absent, and in the aged thelower lid often droops away from the ball. The cross-wrinkles on theforehead stop abruptly at the middle Fig. 47.—Facial palsy of left side. 4, forced effort
Nervous and mental diseases . Fig. 46.—Facial palsy of left sida 1, Bilateral attempt to raise eyebrows; 2, bilateral attempt to closeeyes; 3, smiling. to the sound side. The platysma on the same side is invariably eye on the paralyzed side can not be closed nor the eyebrow attempts to close the eyes the eyeball on the affected side turns up-ward and cannot be controlled. Winking is absent, and in the aged thelower lid often droops away from the ball. The cross-wrinkles on theforehead stop abruptly at the middle Fig. 47.—Facial palsy of left side. 4, forced effort to uncover teeth on both sides ; 5, protrudedtongue in middle line; 6, mouth open more widely on sound side in bilateral effort. During moments of quiet little asymmetry may be apparent, but theslightest emotional or voluntary movement produces and accentuates allthe motor symptoms. In young patients, where the expressional lines andwrinkles are absent or only slightly developed, the difference between thetwo sides is much less marked than in those of more mature years. Thegreater resilience of the skin and the larger adipose layer contribute to 128 DISEASES OF THE CRANIAL NERVES. this effect. The reaction of degeneration is present in the muscles eitherin complete or modified degree. The muscle reflexes are abolished andMcCarthys supra-orbital reflex is lost. After a few weeks the muscleswaste. The atrophic loss is not readily seen except in thin the eye can not be closed, the exposed conjunctiva is oftenirritated and p
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Keywords: ., bookcentury1900, bookdecade1910, bookid, booksubjectnervoussystem
