. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. ments affecting certainmuscle groups, as the facial and brachial, or generalized; explosive utter- cii()1{i:a. 803 aiicos, which may \h iiiarticuhitc. sometimes resemhhng the bark of a (Inp,or the repetition of words (echohihu), accoiiipanied by iiivohintary move-ments, or the repetition of obscene words (coprolalia), or the spasmodicand involuntary imitaticjn of movements (echokinesis), and in many ofthe cases by curious mental impulses or fixed ideas, as the impulse to touchcertai
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. ments affecting certainmuscle groups, as the facial and brachial, or generalized; explosive utter- cii()1{i:a. 803 aiicos, which may \h iiiarticuhitc. sometimes resemhhng the bark of a (Inp,or the repetition of words (echohihu), accoiiipanied by iiivohintary move-ments, or the repetition of obscene words (coprolalia), or the spasmodicand involuntary imitaticjn of movements (echokinesis), and in many ofthe cases by curious mental impulses or fixed ideas, as the impulse to touchcertain objects (folie de toucher), or the obsession of names (onomoto-mania). or the insane habit of counting; witli worriment about numbers(arithmomania). The affection, as a rule, begins in childhood about the time of thesecond dentition and affects neurotic individuals. The outlook is notfavorable, but some of the cases recover. Allied to tic convulsive is theaffection known as — Saltatory Spasm; Static Reflex Spasm of Bamberger; Palmus.—This is probably not an independent disease but in some cases a form. Fig. 401.—Gilles de la Tourettes disease in four phases.—Pennsylvania Hospital. of tic; in others a manifestation of hysteria; and again a manifestation ofincrease in the skin- and deep-reflexes. The spasms do not occur whenthe patient is at rest or in the recumbent posture. When he touches thefloor with his feet he begins to hop, jump, and dance about as the resultof clonic convulsive contractions of the muscles of the legs and feet, andin particular of the muscles of the calves of the legs. It occurs in bothsexes and at any age; in many cases without obvious cause; in othersafter emotional disturbance or in the convalescence from an has been observed in dancers as an occupation neurosis. The prog-nosis is favorable; recovery usually takes place in the course of a fewmonths. The condition occasionally persists for years. Jumpers.—This form of saltatory s
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
