A manual of diseases of the nervous system . hy described furtheron. Complications.—Congenital mental weakness,due apparently to defective development of thebrain, sometimes complicates pseudo-hypertrophicparalysis. In rare cases there have been indica-tions of some other morbid condition of thecentral nervous system, such as epilepsy. Itis uncertain in what light the slight occasional affection of thebladder is to be regarded, whether as an invasion of the vesicalmuscles or as a central complication. Yigoroux has recorded a case inwhich the symptoms of pseudo-hypertrophic paralysis were combi
A manual of diseases of the nervous system . hy described furtheron. Complications.—Congenital mental weakness,due apparently to defective development of thebrain, sometimes complicates pseudo-hypertrophicparalysis. In rare cases there have been indica-tions of some other morbid condition of thecentral nervous system, such as epilepsy. Itis uncertain in what light the slight occasional affection of thebladder is to be regarded, whether as an invasion of the vesicalmuscles or as a central complication. Yigoroux has recorded a case inwhich the symptoms of pseudo-hypertrophic paralysis were combinedwith the peculiar rigidity of Thomsens disease. Of course the subjectsof the disease are liable, like other children, to various affections of thenervous system ; I have seen both chorea and polio-myelitis as merelyaccidental complications. PATHOi-OGicAii Anatomy.—It is rare, at the time of death, for anymuscles to be actually larger than natural, and most of those that areaffected are usually below the normal size. They are pale and. Fig. 154.—Enlargfc-ment of the vastiand not of therectus. In this caseall other ranscleswere below normalsize. PSEUDO-HYPERTROPHIO MUSCULAR PARALYSIS. 515 yellowish in colour, and often, to the naked eye, resemble perfectlymasses of adipose tissue. The resemblance is not merely one of seen under the microscope, it may be difficult for the observer torealise that he is not looking at a fatty tumour. Nothing may be atfirst visible but fat-cells, precisely like those of adipose tissue. Amongthe cells, however, are tracts of nucleated fibrous tissue, and a closerexamination of these shows that the tracts contain also muscular fibres(Fig. 165), most of them much narrower than normal. They are alsoirregular in width ; a broad fibre, for instance (as in the figure), sud-denly becoming narrow.
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectnervoussystem, bookye
