The silly, dancing,
posturing, wiry movements, and the facial distortion observed in
Huntington's chorea would hardly be mistaken by a careful
observer for athetosis. The two diseases, however, are somewhat
alike. Paralysis agitans (shaking palsy), with its coarse tremor,
peculiar facies, immobility, shuffling gait, the
'bread-crumbling' attitude of the fingers, and deliberate speech,
would be readily eliminated even by a novice. It is, too, a
disease of advanced life, usually. Charcot, Gray, Ringer,
Bernhardt, Shaw, Eulenberg, Grassel; Kinnicutt, Sinkler, and
others have written on this affection."
The following is the report of a case by Drewry, of double (or,
more strictly speaking, quadruple) athetosis, associated with
epilepsy and insanity: "The patient was a negro woman, twenty-six
years old when she was admitted into this, the Central State
(Va.) Hospital, in April, 1886. She had had epilepsy of the grand
mal type for a number of years, was the mother of one child, and
earned her living as a domestic. A careful physical examination
revealed nothing of importance as an etiologic factor. Following
in the footsteps of many of those unfortunates afflicted with
epilepsy, she degenerated into a state of almost absolute
imbecility.
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