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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    5° effort he can protrude it a little—about i-i6th of an inch—beyond the lower lip. Palate — Upon saying, Ah, this is moved slightly upwards and to the left. Speech. -Hesitating, thick and indistinct. Could talk perfectly well up to two years ago. M, N, B, T, P, can be pro- nounced ; R and S, cannot be sounded clearly. There is a peculiar running of words together, as he says, nine-uner-an- nine-e-nine, for nine hundred and ninety nine. Head and Neck.—When standing, the head hangs forward, but he can raise it voluntarily, owing to the deeper muscles of the head and neck not being completely atrophied. It requires a greater effort than normal, as is shown by the Synergic contraction of the frontalis muscle which is associated with the extensors of the head, as in looking upwards, but should not contract when the head is raised normally. Can shrug the shoulders a little. Hands and Arms.—Hang helplessly by his side, he can move the left elbow very slightly. No main en griffe for reasons similar to those given in the ist case. Back.—Although weak, he can perform the normal movements. Pelvis and Thigh.—Can perform the normal movements though weakened. Standing.—Can stand alone and turn around with his eyes shut. Walking.—Stiff, spastic-like, feet coming down with heels slightly raised and a <l festination like tendency when going. Stiff and fixed at the knees. Co-ordination.—Can co-ordinate legs and feet to a certain extent, can touch one toe on the foot with the big toe of the other foot when requested. Reaction.—(a) Nervous.— Where the muscles are not completely atrophied, he can perform voluntary movements. (b) Spontaneous—The fibrillar contractions are very marked, going on continuously in one part or another, making a careful examination of the muscles almost impossible. It is very marked in the few remaining fibres of the muscles of the neck, Pectorals, etc.,