File:A treatise on the nervous diseases of children, for physicians and students (1905) (14781520071).jpg

Identifier: treatiseonner00sach (find matches)
Title: A treatise on the nervous diseases of children, for physicians and students
Year: 1905 (1900s)
Authors: Sachs, Bernard, 1858-1944
Subjects: Nervous system Children
Publisher: New York, W. Wood and company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Fig. 92.—Youngest of the Three Brothers, in the Earlier Stage of Pseudo-Hypertrophy.(For the photographs of this boy I am indebted to the courtesy of Dr. Collins.) the arms, and may have no use of any of the muscles, exceptthe small muscles of the hand. In the two boys (Figs. 90,91) under my observation, a climbing up of the hand along PROGRESSIVE MUSCULAR ATROPHIES. 373 the head in order to get the arm into the erect position wasa very characteristic feature. In addition to the hypertrophy of the calf muscles, wenow know that there is apt to be atrophy of the muscles ofthe thigh, of the arm, and the shoulders ; the scapular raus-
Text Appearing After Image:
FiG. 93.—Boy with Pseudo-Hypertrophy attempting to straighten himself. Same patient as in Fig. 92. cles, and at a very early stage of the disease the serrati, thelatissimus dorsi, and the pectoralis major, are often wasted.The forearm muscles and the hand muscles are rarely af-fected. The disease is often associated, as the other formsof myopathy may be, with symptoms of a general degener-ation ; thus I have found nystagmus, lisping speech, and amoderate degree of imbecility in not a few of these cases. 374 THE NERVOUS DISEASES OF CHILDREN. Erbs Type, or the Juvenile Form of ProgressiveMuscular Atrophy.—According to Erbs own summary,this type is characterized by progressive wasting withweakness of certain groups of muscles, beginning either inchildhood or early youth, involving, as a rule, the musclesof the shoulder girdle, the upper arm, the pelvic girdle, thethigh, and the back ; the forearm and leg muscles remain-ing intact for a very long time. The atrophy may be asso-ciated w

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