. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. Fig. 390a.—Progressive muscular atrophy.—Atlas of Clinical Medicine (Dr. B>Tom Bramwell). By courtesy of the PROCIRESSIVK MUS( ri,AK AllJolllV. 755 pure roniis, that is, in i-ascs in which tiic lateral tiacts arc not involved,there is no spastic paralysis, and tlu reHexes, either of the arms or legs,are not increased. In advanced cases the reflexes in the affected musclesnuiy he much diminished or even lost; hut this is not invariahle, for evenin very much wasted muscles
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. Fig. 390a.—Progressive muscular atrophy.—Atlas of Clinical Medicine (Dr. B>Tom Bramwell). By courtesy of the PROCIRESSIVK MUS( ri,AK AllJolllV. 755 pure roniis, that is, in i-ascs in which tiic lateral tiacts arc not involved,there is no spastic paralysis, and tlu reHexes, either of the arms or legs,are not increased. In advanced cases the reflexes in the affected musclesnuiy he much diminished or even lost; hut this is not invariahle, for evenin very much wasted muscles a sharp taj) will sometimes elicit a slij^htresponse. The alleeted muscles are the seat of fihrillary twitchinj^s. Thecomplete reactions of degeneration are not present, although some modalchange and partial reaetion may be seen in advanced eases. There is noanustiusia of any kind, nor are the sphincters usually affected. Scoliosisdoes not oct-ur. In cases in which the neck muscles are greatly wastedthere may be head-drop, but this symptom occurs more fretjuently inamyotrophic lateral sclerosis. As a rule, there are no bulbar or oculomotorsymptoms. Tlie disease may be very chronic, lasting for many years. Someaberrant forms
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
