. A treatise on mental diseases. IDIOCY AND IMBECILITY—CONGENITAL AND ACQUIRED 5Q1 teeth may also be uneven or deficient. Next in frequency areabnormalities in the development of the external portions of theauditory apparatus, the helix, tragus, anti-helix, or lobe being de-formed ; or the whole ear may be too large or too small. Commonsensation is not usually disturbed to any considerable degree, though. Fig. 41.—Microcephalic Type of Idiocy with Local Myxcedema. The woman, agedtwenty-one years, is able to speak coherently, though slowly, and lias considerablepower of attention. The height is
. A treatise on mental diseases. IDIOCY AND IMBECILITY—CONGENITAL AND ACQUIRED 5Q1 teeth may also be uneven or deficient. Next in frequency areabnormalities in the development of the external portions of theauditory apparatus, the helix, tragus, anti-helix, or lobe being de-formed ; or the whole ear may be too large or too small. Commonsensation is not usually disturbed to any considerable degree, though. Fig. 41.—Microcephalic Type of Idiocy with Local Myxcedema. The woman, agedtwenty-one years, is able to speak coherently, though slowly, and lias considerablepower of attention. The height is 165 centimetres; the osseous system is well devel-oped. The skull is dolichocephalic and trigonocephaly; the circumference centi-metres ; the cephalic index The measurement over the vault is Z\ centimetres;over the antero-posterior diameter 31 centimetres. The skin contains swellings of a firm,jelly-like character in the occipital, malar, and clavicular regions, and to a less degreeabout the legs. The hair is coarse. The thyroid gland is not palpable. There is con-siderable arteriosclerosis of the peripheral arteries. The palate is fiat, with a well-marked torus of the knob form. this point is hard to determine accurately from the difficulty experi-enced in making the patients understand what is wanted of cutaneous analgesia is fairly common. Heat and cold sen-sations, i
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