File:A manual of diseases of the nervous system (1892) (14781216544).jpg

English:
Idiopathic muscular atrophy affecting the face. Fig. 158 shows the wasting of the deltoid upper-arm muscles and supinator longus (while the forearm-muscles are not wasted), and the rotation of the scapula from the loss of the trapezius and rhomboids. Fig. 159 shows the habitual appearance of the face, and Fig. 160 the greatest possible movement of the facial muscles in closing the eyes and smiling, and also the wasting of the deltoids and pectorals.

Identifier: manualofdiseases00gowe (find matches)
Title: A manual of diseases of the nervous system
Year: 1892 (1890s)
Authors: Gowers, W. R. (William Richard), 1845-1915
Subjects: Nervous System Diseases Nervous system
Publisher: Philadelphia : Blakiston
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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aralysis,ceasing, as in that disease, when the patient sits (compare Figs. 158and 161). When the muscles of the lower leg are involved, talipesmay develop. The course and duration of the disease are exceedingly variable.The atrophy may remain limited to the part in which it begins. Theface alone has been affected in some members of a family, although inother members the limbs subi?equently suffered. In cases in which * AtropViy began in the back-muscles at forty-four in a case recorded by Musso( Riv. Clin., June, 1887), and twelve years later had involved also the legs. Thepatients mother, two brothers, sister, and. maternal uncle suffered in the same wayat the same age. 526 SPINAL CORD. the wasting spreads, years may iutervene before the extension takesplace. In one case, for instance, the right arm became affected atnineteen, the left at twenty-five, the legs at thirty. In another thearms began to waste at thirty-five, power of standing was only lost at Pig. 15S. Fia. 159. Pig. IGO.
Text Appearing After Image:
Figs. 158 to IGl.—Ifliopathic muscular atrophy affecting the face. Fig. 158shows the wasting of the deltoid upper-arm muscles and supinator longus(while the forearm-muscles are not wasted), and the rotation of the scapulafrom the loss of the trapezius and rhomboids. Fig. 159 shows the habitualappearance of the face, and Fig. 160 the greatest possible movement of thefacial muscles in closing the eyes and smiling, and also the wasting of thedeltoids and pectorals. The general distribution of the atrophy and projec-tion of the scapulae are seen in Fig. 161.* * The patient was a lad sixteen years of age. The following is an abstract ofthe notes of his case. In his family no history of any similar affection can beascertained. There is conclusive evidence that he had a hard chancre at the ageof three, followed by secondary symptoms. The muscular wasting began graduallyduring childhood j even when very young there was little movement in the face, andthat ceased at the age of six or seven.

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