Nervous and mental diseases . ar myositis,and occasionally patients do complain of tender muscular D. Camp^ calls prominent attention to the parathyroids and sug-gests that their disease gives rise to the muscle changes through an auto-toxic eftect. In 1897 the author treated many cases with desiccatedparathyroids prepared in the Armour Laboratory, but without ap-preciable benefit. Symptoms.—A t3i3ical case of Parkinsons disease presents a moststriking picture. The patient trots into the room with short, reluctantsteps, apparently following his center of gravity. The body is inc
Nervous and mental diseases . ar myositis,and occasionally patients do complain of tender muscular D. Camp^ calls prominent attention to the parathyroids and sug-gests that their disease gives rise to the muscle changes through an auto-toxic eftect. In 1897 the author treated many cases with desiccatedparathyroids prepared in the Armour Laboratory, but without ap-preciable benefit. Symptoms.—A t3i3ical case of Parkinsons disease presents a moststriking picture. The patient trots into the room with short, reluctantsteps, apparently following his center of gravity. The body is inclinedforward, the neck extended and rigid, the elbows flexed and slightlyabducted, bringing the hands, with their trembling fingers, to the levelof the groins. The face is mask-like, the eyes bright and patient turns bodily, deliberately, and rigidly. He sits down 1 Amer. Jour. Med. Sci., Dec, 1899. - Deut. Zeit. f. Nervenheilk., Dec, Riv. dipathologianerv. ement., 1906. * Jour. A. M. A., April 13, Fig. 234.—Parkinsonsdisease. Attitude. 584 NEUROSES slowly, with precaution, on the edge of the chair, always leaning forward,his shaking hands on his knees in constant motion. In the more ad-vanced cases the patient drops rigidly or falls backward into the change of position is studied and reluctant. We ma\ take upthe symptoms in detail. The muscular rigidity is worthy of first attention, as it is thedominant motor phenomenon, causing the peculiar attitudes and pos-tures, the immobile face, and the slowness of movement. It is the motoranalogue of the mental inertia so common in this disease. It is nearlyalways present where the tremor exists, and may be highly developedwithout the tremor, or may first invade the parts that subsequently
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