AMAarchives of neurology & psychiatry . atient lifted his foot from the floor; this movement wasof a dystonic type. There was a slow turning of both feet, especially of theright, into an equinovarus position. The lower extremities were held mainly inan extended position: the feet especially in plantar flexion. The right bigtoe was frequently held in spontaneous dorsal hyperextension. On suspendingthe patient by the arms both lower extremities were hyperextended at all gait simulated a spastic walk with bilateral dropped foot. It was slow,wide, swinging and shuftling with a broad bas
AMAarchives of neurology & psychiatry . atient lifted his foot from the floor; this movement wasof a dystonic type. There was a slow turning of both feet, especially of theright, into an equinovarus position. The lower extremities were held mainly inan extended position: the feet especially in plantar flexion. The right bigtoe was frequently held in spontaneous dorsal hyperextension. On suspendingthe patient by the arms both lower extremities were hyperextended at all gait simulated a spastic walk with bilateral dropped foot. It was slow,wide, swinging and shuftling with a broad base, and appeared somewhat inco- UEC HSLER-B ROC K—DY STOMA MUSCULORUM 547 ordinate (Fig. 6). Yet there were no equilibratory and no deep sensory dis-turbances. The left abdominal reflexes were diminished, the lower deepreflexes increased. There was no true Babinski sign, but there were a leftMendel-Bechterew and a Rossolimo sign. There was neither hypertonia norhypotonia in the right upper and lower extremities. A slight hypotonia was. Fig. 6.—A typical instance of the myostatic variant of dystonia the spontaneous Babinski sign and the grimacing facial expression some-what like that seen in progressive lenticular degeneration (Wilsons disease). noted in the left lower extremity. There was flexor contracture of the fingersof the left hand into the palm. The left interossei were atrophied. Markedhjpertonia was found in the left upper extremity, which was held flexed at anangle of 90 degrees at the elbow. The speech sounded as though the wordswere uttered through articulated teeth and partly closed lips. The labials 548 ARChiniiS OF NEUROLOGY AXD PSYCH I AT RY were especially interfered with because of the overaction of the lower facialmuscles and platysma. The face appeared spastic, as if a smile were frozenon it. Discussion.—There are a few physical findings in this case which complicatethe picture, hut it appears that they have heen brought about by surgica
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