For some hours she could neither speak nor chew, but
breathing was not interfered with. After a few days all symptoms
passed away except headache, and she thought no more of the
matter until recently, as stated above, she noticed by accident
that her tongue was deformed. She is a spare, poorly-fed,
muddy-skinned mulatto girl. The left half of the tongue is only
about one-half as large as the right. The upper surface is
irregularly depressed and elevated. There are no scars. When
protruded it turns sharply to the left. Fibrillary twitching is
not present. The mucous membrane is normal. Common sensation and
taste are preserved. The pharyngeal reflex is present. The palate
moves well. There is no palsy or wasting of the face. The pupils
are of normal size and react well to light and with
accommodation. Station and gait are normal. There is no
incoordination of movement in the arms or legs. The knee-jerks
are much increased. There is an attempt at, but no true, clonus;
that is, passive flexion of the foot causes two or three jerky
movements. There is no glandular swelling or tumor about the jaw
or in the neck. Touch and pain-sense are normal in the face and
hands, but she complains of numbness in the hands as if she had
on tight gloves.
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