A treatise on the nervous diseases of children, for physicians and students . Fig. 108.—Youngest of the Three Brothers, in the Earlier Stage of Pseudo-Hypertro-phy. (For the photograph of this boy I am indebted to the courtesy of Dr. Collins.) the arms, and maj have no use of any of the muscles, exceptthe small muscles of the hand. In the two boys (Figs. 106,107) under my observation, a climbing iip of the hand along PROGRESSIVE MUSCULAR ATROPHIES. 425 the head in order to get the arm into the erect position wasa very characteristic feature. In addition to the hypertrophy of the calf muscles,
A treatise on the nervous diseases of children, for physicians and students . Fig. 108.—Youngest of the Three Brothers, in the Earlier Stage of Pseudo-Hypertro-phy. (For the photograph of this boy I am indebted to the courtesy of Dr. Collins.) the arms, and maj have no use of any of the muscles, exceptthe small muscles of the hand. In the two boys (Figs. 106,107) under my observation, a climbing iip of the hand along PROGRESSIVE MUSCULAR ATROPHIES. 425 the head in order to get the arm into the erect position wasa very characteristic feature. In addition to the hypertrophy of the calf muscles, wenow know that there is apt to be atrophy of the muscles ofthe thigh, of the arm, and the shoulders ; the scapular mus-. FlG. 109.—Boy with Pseudo-Hypertrophy attempting to straighten Himself. Samepatient as in Fig. 108. cles, and at a very early stage of the disease the serrati, thelatissimus dorsi, and the pectoralis major, are often forearm muscles and the hand muscles are rarely af-fected. The disease is often associated, as the other formsof myopathy may be, with symptoms of a general degener-ation ; thus I have found nystagmus, lisping speech, and amoderate degree of imbecility in not a few of these cases. 426 THE NERVOUS DISEASES OF CHI LORE AT. Erbs Type, or the Juvenile Form of ProgressiveMuscular Atrophy.—According to Erbs own summary,this type is characterized by progressive wasting withweakness of certain groups of muscles, beginning either inchildhood or early youth, involving, as a rule, the musclesof the shoulder girdle, the upper arm, the pelvic girdle, thethigh, and the back ; the forearm and leg muscles remain-ing intact for a very long time. The atrophy may be asso-ciat
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectnervous, bookyear1895
