The Journal of nervous and mental disease . is-coloration generally ])assed away (|uick!y but the eyes would remaindiscolored for days, (or three years he had shut one eye on read-ing and said that things appeared (loul)le otherwise. His physical examinalifin. 23, 1912, when he was twen-ty-five years (j1<1, resulted as follows: He was a well develo])ed andnourished man and weighed one hundred and forty-nine pounds. PROGRESSIVE LENTICULAR DEGENERATION 301 His hands and feet were cold and cyanotic. There was a yellowishtinge to the white of the eyes. His muscles were of good volumean
The Journal of nervous and mental disease . is-coloration generally ])assed away (|uick!y but the eyes would remaindiscolored for days, (or three years he had shut one eye on read-ing and said that things appeared (loul)le otherwise. His physical examinalifin. 23, 1912, when he was twen-ty-five years (j1<1, resulted as follows: He was a well develo])ed andnourished man and weighed one hundred and forty-nine pounds. PROGRESSIVE LENTICULAR DEGENERATION 301 His hands and feet were cold and cyanotic. There was a yellowishtinge to the white of the eyes. His muscles were of good volumeand strength. Much of the time his face had a sleepy, masklikeexpression, but frequently a broad grin, of long duration, wouldspread over his face. His tongue lay on the floor of his mouthand he was unable to protrude it much beyond the teeth. Hismouth was full of saliva and this dribbled from his lips. His pupilswere equal and reacted to light and accommodation. There was noparalysis of the external ocular muscles and no diplopia, but there. Fig. 3. was a well-marked, irregular, coarse jerking of the external ocular?luscles on lateral or upward vision. Sight and hearing were speech was very slow and labored and only rarely could aword be understood. Frequently his jaws became set, especially when attemptinganew to speak, and it would then be necessary to relax the lowerjaw with the aid of his hand, before a sound could be uttered (). He often choked in attempting to swallow. He walked with 302 ARTHUR S. HAMILTOX AXD HERBERT If. JOXES a spastic, rolling gait and as he did so the arms were held in a semi-flexed attitude and the hngers in a peculiar jiosition. (See Figs. 2and 3.) Both arms were constantly spastic, the left more so thanthe right. There was also a very marked spasticity of the throatmuscles, but the muscles of the entire body were more or less rigid(Fig. 3), especially on attempted movement. The left hand wasstronger than the right, but the power in the
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectpsychologypathologic
