. The practice of pediatrics. Fig. 71.—Pseudomuscular Fig. 72.—Pseudomuscular hypertrophy. 510 THE PRACTICE OF PEDIATRICS 2. Progressive bulbar paralysis is unusual in children. Occasion-ally it marks the termination of an advancing amyotrophic lateralsclerosis or ophthalmoplegia. Dysphonia and dysphagia are the car-dinal symptoms. Localized fibrillary twitchings may occur. Electricirritability is gradually diminished. 3. Progressive muscular atrophy of the leg type attacks first the peronei,then the anterior tibial muscles and the calf muscles, and, at a late stage,the adductors
. The practice of pediatrics. Fig. 71.—Pseudomuscular Fig. 72.—Pseudomuscular hypertrophy. 510 THE PRACTICE OF PEDIATRICS 2. Progressive bulbar paralysis is unusual in children. Occasion-ally it marks the termination of an advancing amyotrophic lateralsclerosis or ophthalmoplegia. Dysphonia and dysphagia are the car-dinal symptoms. Localized fibrillary twitchings may occur. Electricirritability is gradually diminished. 3. Progressive muscular atrophy of the leg type attacks first the peronei,then the anterior tibial muscles and the calf muscles, and, at a late stage,the adductors of the thigh and gluteal muscles. In cases of the so-called ascending type the arms and trunk may be-come affected. At the outset the paralysis and atrophy are twitchings and diminished electric responses are observed,but there are no significant sensory symptoms. 4. Progressive spinal muscular atrophy of the spastic type combinesthe symptoms of tonic paralysis with those of progressive affected extremities are stiff and weak,
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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren
