. A treatise on nervous and mental diseases, for students and practitioners of medicine. Case ot generalized progressive muscularatrophy. Front view. Case of generalized progressive muscularatrophy. Rear view. diagnosis as to the peripheral or central origin upon the muscularlocalization of the atrophy. Indeed, many of our cases coming tothe clinics it is impossible to classify under any one of these fourtypes, so general is the atrophy, frequently commingled with true orpseudo-hypertrophy, as, in the remarkable case represented in and 131. This classification becomes additionally dif
. A treatise on nervous and mental diseases, for students and practitioners of medicine. Case ot generalized progressive muscularatrophy. Front view. Case of generalized progressive muscularatrophy. Rear view. diagnosis as to the peripheral or central origin upon the muscularlocalization of the atrophy. Indeed, many of our cases coming tothe clinics it is impossible to classify under any one of these fourtypes, so general is the atrophy, frequently commingled with true orpseudo-hypertrophy, as, in the remarkable case represented in and 131. This classification becomes additionally difficult at 238 NERVOUS DISEASES, the beginning of the disease in many cases, as in Fig. 132, where thesujDra-scapular atrophy belongs to no type. The course of the disease is gradual, and the duration is from fiveto thirty years. The chronic and fibrillary atrophy may uot bedetected for some time, until enough of the muscle has been affectedto alter the contour and consistence, which latter is then found,upon palpation, to be softer and less resilient than in a healthymuscle. The para
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