Nervous and mental diseases . bearing in mind the special location of this disease, is referred. Theorganic changes of associated atrophies and scleroses or of primary con-ditions, such as tabes, syringomyelia, insular sclerosis, and descendingcerebral degenerations are at times encountered. Symptoms.—The symptoms begin insidiously and progress tongue is usually the first aifected. This is manifest in a thick-ened pronunciation, particularly of the letters which require definitelingual movements. The linguodentals and linguopalatals (see table,p. 67) and the vowel ^^e^ and later on
Nervous and mental diseases . bearing in mind the special location of this disease, is referred. Theorganic changes of associated atrophies and scleroses or of primary con-ditions, such as tabes, syringomyelia, insular sclerosis, and descendingcerebral degenerations are at times encountered. Symptoms.—The symptoms begin insidiously and progress tongue is usually the first aifected. This is manifest in a thick-ened pronunciation, particularly of the letters which require definitelingual movements. The linguodentals and linguopalatals (see table,p. 67) and the vowel ^^e^ and later on the explosive labial sounds arelost. Finally speech is reduced to unmodified laryngeal noises that arequite unintelligible. When the disease is only slightly developed, by aneffort the patient can often enunciate clearly and the embarrassment maybe noticed only in ordinary inattentive conversation. The tongue alsoprogressively loses its muscular strength and range of motion until it MULTIPLE PARALYSES OF CRANIAL NERVES. 159.
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Keywords: ., bookcentury1900, booksubjectmentalillness, booksubjectnervoussys