. Diseases of the nervous system : for the general practitioner and student. om-group which he characterized as a disturbance of muscle tone. Priorto him Ziehen (Allg., Ztschr. f. Psych., LXVIII) observed an analogouscondition to which he gave the name of tonic torsion neurosis. Thedisorder, according to Oppenheim, has some resemblance to Huntingtonschorea and more to athetosis, so that his diagnosis of the condition atfirst was between hysterical lordosis and idiopathic bilateral athetosis. Symptoms.—The main features of the disease are: a deformity about 506 ATHETOSIS the pelvis and spasms o
. Diseases of the nervous system : for the general practitioner and student. om-group which he characterized as a disturbance of muscle tone. Priorto him Ziehen (Allg., Ztschr. f. Psych., LXVIII) observed an analogouscondition to which he gave the name of tonic torsion neurosis. Thedisorder, according to Oppenheim, has some resemblance to Huntingtonschorea and more to athetosis, so that his diagnosis of the condition atfirst was between hysterical lordosis and idiopathic bilateral athetosis. Symptoms.—The main features of the disease are: a deformity about 506 ATHETOSIS the pelvis and spasms of the muscles surrounding the pelvis, also twitchingsin other muscles. The disease may begin with twitchings in the upperlimbs, but it is in the muscles of the pelvic girdle that they are mostmarked. The twitchings are evident while standing or walking, but notin a lying position. The deformity, which is persistent, consists of amarked lordosis of the dorso-lumbar region with a lateral inclination ofthe pelvis. The gait is especially peculiar, it resembles the movements. Fig. 152.—DysbasiaLordotica Progres-siva or Dystonia Musculorum Deformans.(Oppenheim.) Fig. 153.—Same as Fig. 152. of a quadruped. While the patient walks, he is affected with movementsof a clownish character; the fatigue and strain caused by such movementsbrings on a perspiration and rapidity of pulse. The muscular twitchingsare either a rhythmical tremor, or rhythmical clonic contractions, especiallyin the lumbo-abdominal muscles. Tonic contractions are seen especiallyin the upper extremities. On passive movements a distinct hypotonia isobserved even in the muscles which are affected with tonic contractions.(Figs. 152 and 153.) TIC 507 The disease presents no evidences of organic involvement of the nerv-ous system. The tendon reflexes are sometimes diminished. There is noparalysis, no muscular atrophy, no electrical change. Sensations, sphinc-ters, cranial nerves, psychic sphere—are all intact. The co
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectnervous, bookyear1913
