A treatise on the nervous diseases of children, for physicians and students . with Dr. Gibney. His results in thecases of the peroneal form of progressive muscular atrophymake one a little hopeful that still better results may be at-tained in the future in this and other forms of muscularatrophy by similar or even bolder measures. I am confidenttoo that improvement can be secured by complete rest and by insisting upon thegreatest care in the exer-cise of atrophied or hyper-trophied muscles ; also bythe diligent and prudentuse of massage and elec-tricity in these cases. Thelatter agent has a wh


A treatise on the nervous diseases of children, for physicians and students . with Dr. Gibney. His results in thecases of the peroneal form of progressive muscular atrophymake one a little hopeful that still better results may be at-tained in the future in this and other forms of muscularatrophy by similar or even bolder measures. I am confidenttoo that improvement can be secured by complete rest and by insisting upon thegreatest care in the exer-cise of atrophied or hyper-trophied muscles ; also bythe diligent and prudentuse of massage and elec-tricity in these cases. Thelatter agent has a whole-some influence upon thecondition of muscles whosenutrition has been altered,and is furthermore a con-venient form of moderateexercise. In the case of aboy suffering from theLandouzy - Dejerine type,all the symptoms werebrought to a standstill, anda decided improvementhas been effected by thecareful administration offig. n6. electricity. If the stage of atrophy and helplessnesshas been reached, nothing more can be done than to makethe patient as comfortable as TOTAL ABSENCE AND EARLY ATROPHY OF MUSCLES. This condition is suggested by the preceding discussionof the primary muscular dystrophies, and may as well bereferred to in this connection as in any other. The condi-tion is a rare one. The following case, which I have seen,suggests a similar condition, and at the same time shows PROGRESSIVE MUSCULAR ATROPHIES. 437 that the defect may include bony parts as well as the mus-cles covering them.* The boy whose condition is represented in Figs. 115 and116 was seen by me a few years ago. He was then sixyears of age. The mother stated that she had noticed dur-ing the past year that the right shoulder was higher thanthe left. On examination we found that there was shorten-ing of the right scapula, the longest diameter being 4 than that of the left, and there was insufficient develop-ment of the right supra- and infra-spinati of the latissimusdorsi, and of the pe


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectnervous, bookyear1895