. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . tal di-sease. Very frequentlythe muscular disturbance does not extend beyond theface; but it is quite rare that this region does not showsome evidence of the morbid irritation of the brain the face alone is disturbed in this way, the result-ing expression is quite peculiar, and resembles thosemeaningless contractions that are produced when a mildgalvanic current is jiassed tlirough these muscles. Themuscles are gcnth but continuously contracted, partic
. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . tal di-sease. Very frequentlythe muscular disturbance does not extend beyond theface; but it is quite rare that this region does not showsome evidence of the morbid irritation of the brain the face alone is disturbed in this way, the result-ing expression is quite peculiar, and resembles thosemeaningless contractions that are produced when a mildgalvanic current is jiassed tlirough these muscles. Themuscles are gcnth but continuously contracted, particu-larly those about the forehead, at the root of the nose,and about the mouth, giving to the patient a peculiarkind of troubled or anxious expression. It is often no-ticed by the friends at a very early stage of the disease,and they will tell you that the patient does not look nat-ural, that his countenance has a strained, intense look,quite different from his normal expression, but still verydifficult to describe. In Case XLII. (Fig. 2til8), the patient was entirely in-coherent, and in a state of constant muscidar Fig. 3834.—Case XII. Paranoia. Morbid eprotism and fondness fordisplay. (From photoffraph taken by autbor.) He was destructive, and almost too confused to eat hismeals, so that frequent teeiling with the nasal tube be-came necessary. The staring eyes, w^rinkled forehead,dry, dishevelled hair, and torn coat are in striking con- 57 REFERENCE HANDBOOK OF THE IMEDICAL SCIENCES.
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