A manual of diseases of the nervous system . , Freiburg, 1888. I have once met with wasting of theextensors of both phalanges of one thumb, and enlargement of the abd. indicis hasbeen observed (Taylor, Clin. Soc, April 24th, 1891), and fatty growth in the thenarmuscles (Berger, Arch. f. Psych., Bd. xiv). 510 SPINAL CQED. iuteriuediate between this and the third type (see also Westphal, Charite Annalen, 1887, xii, p. 447), but in the patient shown inFig. 152 there was considerable enlargement of the masseters. Thetongue has been increased in size in a few instances. The othermuscles supplied by
A manual of diseases of the nervous system . , Freiburg, 1888. I have once met with wasting of theextensors of both phalanges of one thumb, and enlargement of the abd. indicis hasbeen observed (Taylor, Clin. Soc, April 24th, 1891), and fatty growth in the thenarmuscles (Berger, Arch. f. Psych., Bd. xiv). 510 SPINAL CQED. iuteriuediate between this and the third type (see also Westphal, Charite Annalen, 1887, xii, p. 447), but in the patient shown inFig. 152 there was considerable enlargement of the masseters. Thetongue has been increased in size in a few instances. The othermuscles supplied by the cranial nerves always escape. The diseased muscles are weak, but the impairment of power is tosome extent irrespective of the change in size. The muscles that areabnormally small are generally weaker than those that are abnormallylarge ; and in the latter the weak-ness increases with the wasting. Inthe legs, the greatest weakness is inmuscles that are inaccessible to ex-amination—the flexors of the hips;next in order of weakness come. Fig. 150.—MoJe of obtaining extension of hipsin pseudohypertrophic F, ful-crum of tlie lever formed by the femur. P,mean position at which the power is a))pliedliy contraction of the quadriceps , position of weight in the ordinary modeof rising, to, the place to wliich part ofthe weight is transferred by putting handson knees.
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