. A treatise on nervous and mental diseases, for students and practitioners of medicine. ainfrom any naental or physical exertion. For further details of treatment, the reader must consult*Myelitis (page 191 et seg.). Bibliography. (fraefe, A. v., Arch. f. Ophthalmol., 18G8. Ouyei, Arch, de Physiol., Hutchinson, Trans., Maulhner, Nuclearliihmung d. Augenmuskeln, 1885. SeeligmiUler, Lehrbuch, 1887. Wesiphaln posthumous article in Arch, f , IS)! ; this contains a very tuU bibliography. CHAPTER Y. NEURO-MUSCULAR OR MUSCULAR DISEASES. PSEUDO-MUSCULAR HYPERTROPHY. Sy
. A treatise on nervous and mental diseases, for students and practitioners of medicine. ainfrom any naental or physical exertion. For further details of treatment, the reader must consult*Myelitis (page 191 et seg.). Bibliography. (fraefe, A. v., Arch. f. Ophthalmol., 18G8. Ouyei, Arch, de Physiol., Hutchinson, Trans., Maulhner, Nuclearliihmung d. Augenmuskeln, 1885. SeeligmiUler, Lehrbuch, 1887. Wesiphaln posthumous article in Arch, f , IS)! ; this contains a very tuU bibliography. CHAPTER Y. NEURO-MUSCULAR OR MUSCULAR DISEASES. PSEUDO-MUSCULAR HYPERTROPHY. Synonyms: Pseudo-hypertrophic muscular paralysis (Diichenne).Myosclerotic paralysis. Progressive muscular sclerosis. Atrophiamusculorum lipomatosa. Lipomatous myoatrophy. Pseudo-hyper-trophie der Muskelu. Definition. Pseudo-hypertrophic muscular paralysis is a ehrouicdisease, usually causing paraplegia and great increase in size of thelower limbs, occasionally affecting the upper extremities in the samemanner, and without mental, sensory, rectal, vesical, or atrophicsymptoms. Fig. Photograph of two children with pseudo-hypertrophic muscular paralysis,one (sitting) in the late stage, the other (standing) in the early. History. The disease was first really described by Duchenne,of Boulogne, in 1858, who denominated it hypertrophic paraplegia NEURO-MUSCULAR OR MUSCULAR DISEASES. 285 of infancy, although Charles Bell in 1830, two Italian observers in1838, Partridge in 1847, and Meryon in 1852, had put cases of iton record. Since Duchennes description of it in his famous text-book, it has been generally recognized, but the best essays upon thesubject have been by Gowers in 1879, Schultze in 1886, and Ray-mond in 1889. Clinical History. The disease generally commences in earlychildhood with symptoms of weakness in the lower extremities, towhich attention is first called by the patients stumbling or fallingfrequently. As the malady progresses the gait of the patient be-comes chara
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