Pseudo-hypertrophic muscular paralysis : a clinical lecture / by W. R. Gowers.

  • Gowers, W. R. (William Richard), 1845-1915.
Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: Pseudo-hypertrophic muscular paralysis : a clinical lecture / by W. R. Gowers. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    APPENDIX. I.—ADDITIONAL CASESs The following are abstracts of the notes of twenty original caseSj eighteen of wHcli have been kindly supplied to me by Mr. Wm. Adams and the other two by Dr. Clifford Allbntt. Mr. Adams was a very early observer of the disease, having been, indeed, familiar with its clinical history before attention was called, in this country (by Dr. Lockhart Clarke), to Duchenne's description of it. The accuracy of the diagnosis may, therefore, be relied upon, even in the cases of which the account is very brief. The first five cases occurred in the family of two sisters, who married two brothers. There was no blood-relation between the husbands and wives. The fathers are both tall, fine men: the elder stout and muscular; the younger spare. The wives are short, and of nervous temperament: the wife of the elder brother is thin and looks feeble; that of the younger looks very strong. Children of the elder brother.—PmJ.i^ C. W. As an infant, strong and well-developed ; calves '' large and handsome. After a few years some difficulty in walking up-hill was observed. Increased Case 2o. ^-^^^^^^^ ^ walking was noted after a faU (spraining his ankles) at nine. At eleven he had two epileptic fits. Six months later the calves began to contract, and at twelve the tendons were divided, after which, with rubbing and galvanism, there was marked improvement for a year. Subsequently the lameness increased: at fifteen, however, he could still stand and play croquet for several hour's. The weakness gradually increased, and he died at the age of twenty and three- quarters years from gradual exhaustion, preceded by sickness and irritability of the stomach for two or thi-ee months. A sister, aged eight years, when seen, January 2nd, 1861, presented slight contraction of both calves. The tendons were Case 26. ^^^j^^^ r^^^ ^j^e symptoms had not increased when she was seen again at seventeen. Two other daughters were healthy.