Mental diseasesA text-book of psychiatry for medical students and practitioners . es forthe most part are normal, but they are deficient in depressedcases. An important reflex, the pharyngeal, disappears earlyin General Paralysis—stimulating the back of the throat witha feather frequently produces no discomfort, whereas thereis no marked ansesthesia in the skin. GENERAL PARALYSIS 175 Tremors.—Fibrillary tremors are observed in the protrudedtongue, in the lips and the lower part of the face, and they areincreased by emotion. Tremors of the hands are also notice-able, and later, the manual and o
Mental diseasesA text-book of psychiatry for medical students and practitioners . es forthe most part are normal, but they are deficient in depressedcases. An important reflex, the pharyngeal, disappears earlyin General Paralysis—stimulating the back of the throat witha feather frequently produces no discomfort, whereas thereis no marked ansesthesia in the skin. GENERAL PARALYSIS 175 Tremors.—Fibrillary tremors are observed in the protrudedtongue, in the lips and the lower part of the face, and they areincreased by emotion. Tremors of the hands are also notice-able, and later, the manual and other actions are quite inco-ordinate. Gait.—At first active and brisk, as the disease progressesthe muscular weakness and inco-ordination result in a shufflinggait, and finally the patient is bed-ridden, with muscular wastingand contractures. Congestive Seizures.—These occur sooner or later in thevast majority of cases, and are accompanied by a rise intemperature. They are generally of an epileptiform is usually completely lost, but in the slighter. Fig. 33.—Uneqiial pupils in general paralysis. cases with local sensations or a faint, the patient is awareof his condition. The fits are most frequent on the rightside, and speech for the time being is implicated; but in somecases both sides are affected, thus resembling genuine Epilepsy,or else the patient may have twitchings only, of the face,hand, or leg. A succession of fits (Status Epilepticus) some-times terminates fatally, or Apoplexy from ruptured vesselsmay be the determining cause of death. Previous to the adventof a seizure, the patient has seemed to improve in his generalhealth, although becoming gross and fat, and losing his facialexpression. After each seizure the patient shows markeddeterioration, both mentally and physically, but he invariablyimproves again, only to be assailed by another seizure, untilhe becomes bedridden, with profound Dementia, and he finallydies of exhaustion. Visc
Size: 2812px × 889px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookpublishernewyo, bookyear1913
