Nervous and mental diseases . ht cry. Thepatient is rigid ; the face is pale, but promptly becomes red, and the neckis congested and swollen. Frequently the tongue is protruded or theteeth may be ground together. Biting the tongue and involuntary uri-nation are uncommon, but do occur. Usually the convulsion is mostmarked on the anesthetic side to which the face is turned. The tonic phaselasts two minutes or less, and is often attended by slow, rigid move-ments of wide range, with notable extension of the feet and supinationof the hands or movements of circumduction, unlike anything seen inepil
Nervous and mental diseases . ht cry. Thepatient is rigid ; the face is pale, but promptly becomes red, and the neckis congested and swollen. Frequently the tongue is protruded or theteeth may be ground together. Biting the tongue and involuntary uri-nation are uncommon, but do occur. Usually the convulsion is mostmarked on the anesthetic side to which the face is turned. The tonic phaselasts two minutes or less, and is often attended by slow, rigid move-ments of wide range, with notable extension of the feet and supinationof the hands or movements of circumduction, unlike anything seen inepilepsy. The fingers are usually clenched over the thumb, which mayprotrude between them ; the chest and abdomen are fixed and the bodyis rigid. This tonic phase is followed by a clonic phase, in which rapid,small oscillations begin in the rigid members and in the face. The sus-pended respiration reappears in broken, arrhythmical gasps and sobs, thechest and abdomen acting independently. Noisy movements of swallow- 598 Fig. 252.—Tonic phase, the tongue rolling from one angle of the mouth to the other (Eicher). m
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