A system of practical medicine . Case of paral5sis agitans, showing theattitude, the position of the hands,and the facies (Gray). 680 PARALYSIS AGITANS. also noteworthy in most of the other muscles. The faradic reaction inthe atrophied muscles was normal. The measurements of the circum-ferences were as follows : Showing the Amount of Wastmg in a Case of Paralysis Agitans wherethe disease teas limited to the left side. Circumference of— Right. Left. Difference. Arms : IS cm. below shoulders ....Forearms : 15 cm. below elbows .... Thighs : 15 cm. above patellae Legs : 15 cm. below patellae
A system of practical medicine . Case of paral5sis agitans, showing theattitude, the position of the hands,and the facies (Gray). 680 PARALYSIS AGITANS. also noteworthy in most of the other muscles. The faradic reaction inthe atrophied muscles was normal. The measurements of the circum-ferences were as follows : Showing the Amount of Wastmg in a Case of Paralysis Agitans wherethe disease teas limited to the left side. Circumference of— Right. Left. Difference. Arms : IS cm. below shoulders ....Forearms : 15 cm. below elbows .... Thighs : 15 cm. above patellae Legs : 15 cm. below patellae 28-26 1 The illustration shows fairly well the wasting and contractures, but therigidity was so great that the patient could not be photographed in thebest position to show the defects. Fig. Showing wasting of left arm and leg, with contractures of elbow, wrist, and fingers, in a case of paralysis agitans. In many instances the rigidity gives rise to peculiarities in locomotionor movement of any kind. Patients find difficulty in turning over in SYMPTOMS. 681 bed, in turning around when standing, in moving the head from one sideto the other. Often several efforts have to be made in rising from achair. The gait is frequently affected in a singular manner. In startingto walk the first step is taken with great effort and slowly, and the stepsfollow each other with increasing quickness. The steps are short andthe patient seems to run. He is often unable to stop until he reachessome support. This phenomenon is known as festination or called this running after the centre of gravity. Sometimesa similar tendency exists to run backward (^retropulsion), and very rarelysidewise {lateropuhion). Patients who show the phenomenon of festina-tion very commonly exhibit
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Keywords: ., bookcentury1800, bookdecade1890, bookpublish, booksubjectmedicine
