. A manual of diseases of the nervous system. Fig-. 148.— Pseudo-hyperfcrophic of latissimus dorsi, enlargementof infraspinatus. (From a photograph.). Fig. 149.—Wasting of latissimusdorsi and serratus; enlarge-ment of infraspinatus, supva-spinatus, and deltoid; atrophyof biceps and triceps. (By R. Spencer, from a photo-graph.) no rule is free from exception, and although the escape of the handsin the idiopathic affections is almost constant, it is not quite invariable ;slight (or commencing) imj)lication of the intrinsic muscles has beenmet with in very rare instances t


. A manual of diseases of the nervous system. Fig-. 148.— Pseudo-hyperfcrophic of latissimus dorsi, enlargementof infraspinatus. (From a photograph.). Fig. 149.—Wasting of latissimusdorsi and serratus; enlarge-ment of infraspinatus, supva-spinatus, and deltoid; atrophyof biceps and triceps. (By R. Spencer, from a photo-graph.) no rule is free from exception, and although the escape of the handsin the idiopathic affections is almost constant, it is not quite invariable ;slight (or commencing) imj)lication of the intrinsic muscles has beenmet with in very rare instances that were otherwise typical,* and quitedistinct from the peroneal type to be presently mentioned. The muscles of the neck are very seldom affected, but I have noted,in a few cases, wasting of the clavicular part of the sterno-mastoid. Those of the face do not suffer except in extremely rare cases * i:.g. Sachs, New York Neurol. Soc., Oct. 2nd, 1888; Baumler, Yersamml., Freiburg, 1888. I have once met with wasting of theextensors of both phalanges of one thuiub, and enlargement of the abd. indicis hasbeen observed (Taylor, Clin. Soc, April 24th,


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Keywords: ., bookcentury1800, bookdecade1890, booksubjectnervoussystem, bookye