Progressive muscular dystrophy : comparisons of some of the varieties with each other, and with progressive muscular atrophy / by J.H. Crocker.

  • Crocker, J. H (John Hedley)
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Progressive muscular dystrophy : comparisons of some of the varieties with each other, and with progressive muscular atrophy / by J.H. Crocker. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    Calf, Anterior Tibial and Peroneal muscles require a stronger current. Interossei and Abductor Hallucis—Ditto, and slightly delayed. Tonic contractions resulted in some cases. From some of the symptons of reaction of degeneration above, it is evident the disease is progressing; in the Trapezius, Sterno- niastoid, Glutei, and Hamstrings particularly. Reflexes —(a) Organic : In swallowing a little fluid there is some delay, and a distinct double gurgle in the oesophagus, sugges- tive of a slight impairment, otherwise there is nothing abnormal in the act of deglutition. No bladder or rectal trouble. (b) Superficial reflexes. Plantar present Cremasteric absent. (c) Deep.—There is no attempt at knee jerk, no ankle clonus. Sensation.—Normal as to touch, pain, temperature, etc. PROGRESSIVE MUSCULAR ATROPHY COMBINED WITH SPASTIC PARAPLEGIA AND BULBAR PARALYSIS. Case 2.—Jno. Wm, C , age 37 years. Married. Occupation, car driver. Past History.— Never had any illness before this. Family History. Has five brothers and five sisters, all healthy. Eight children, four dead of convulsions when very young, and four are alive and well. History of Present Illness.—Four years ago first noticed something wrong with the fingers of the left hand, the weakness gradually spread up his arm; the right arm began some time after the left, and after working for two years longer he had to give up his employment. He has gone worse ever since. Present Condition.—Patient looks fairly well in the face, but has a tremulous movement about the mouth, most marked on the right side and in the act of smiling. His speech is somewhat thick and hesitating, and he cannot sound some words at all clearly. The whole body and legs are in a tremulous condition from the