The Form And Functions of the Central Nervous System; An Introduction to the Study of Nervous Diseases

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On passive movement there was a distinct rhythmical in- terruption, so-called cog-wheel symptom, due to the increased myotonus. This same condition of increased tone was observed in the trunk and the lower ex- tremities. The activity of the dcop reflexes was normal on both sides as was also the case with the superficial n^flexes; no pathological reflexes were observed at any thne. Automatic associated control showed a marked defect. There was a distinct suppression of the normal automatic assoc...iated movements; in walking there was a lack of normal synchronism of the movements of the arm, trunk, leg and neck muscles; on sitting down and rising from the sitting posture this same defect was observed, while the normal automatic associated movements in facial expression, especially in the expression of emotion, showed a distinct loss on the two sides of the face. The attitude in standing showed the body shghtly lient forward and the arms held at the side, a posture usually recognized as the Parkinsonian attitude.

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