Diseases of the nervous system : a text-book of neurology and psychiatry . he lower. The smaller musclesof the hand are initially affected. Weakness, atrophy, and flaccidparalysis is the sequence. Fibrillary twitchings accompany theatrophy and there is reaction of degeneration in the muscles and trophic disturbances are lacking and the tendon reflexesare diminished or lost. Early over-excitability of the tendon reflexesmay be noted in both of these 322 LESIONS OF THE SPINAL CORD Oppenheim has called attention to the tendency for these atrophiesto jump from one muscle
Diseases of the nervous system : a text-book of neurology and psychiatry . he lower. The smaller musclesof the hand are initially affected. Weakness, atrophy, and flaccidparalysis is the sequence. Fibrillary twitchings accompany theatrophy and there is reaction of degeneration in the muscles and trophic disturbances are lacking and the tendon reflexesare diminished or lost. Early over-excitability of the tendon reflexesmay be noted in both of these 322 LESIONS OF THE SPINAL CORD Oppenheim has called attention to the tendency for these atrophiesto jump from one muscle group to another. The atrophy is verygradual; the disease advances slowly for years. Remissions occur,but recoveries are very unusual. The distribution of the affected muscles varies considerably. Deathusually results from paralysis of the muscles of respiration. Diagnosis.—The separation of these two forms is at times is a tendency for the former to advance more rapidly, to involvethe lower limbs, to advance to the medulla, to show longer remissions,.
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