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Asymmetrical Conditions met with in the Faces of the Insane; with some Remarks on the Dissolution of Expression

Published online by Cambridge University Press:  19 February 2018

John Turner
John Turner*
Affiliation:
Essex Lunatic Asylum
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Extract

In the case of Ellen D., a female general paralytic in an advanced stage of the disease, whenever she was spoken to her features would be distorted by an exaggerated grin; the eyes nearly closed by the action of the lower part of the orbicularis palpebrarum, mouth opened and its angles retracted, the upper lip excessively elevated showing the gum, the tongue lolled out between the teeth always on the left side, and enormously deep naso-labial folds produced, curving round the angles of the mouth and blending with each other on the end of the chin.

Type
Part 1.—Original Articles
Information
Journal of Mental Science , Volume 38 , Issue 161 , April 1892 , pp. 199 - 211
Copyright
Copyright © Royal College of Psychiatrists, 1892

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Footnotes

∗

See note at end.

∗

Since the above was written she died. There were no very striking, naked-eye, morbid appearances in the brain. There was adhesion of the meninges to the incus on both sides, but very much more on the left, which was decidedly softer than the right, being almost diffluent. Over the prefrontal lobes the meninges were thickened in patches. The ventricles were dilated and full of fluid. Lungs extensively infiltrated with tubercle; the left lung was more disorganized than the right, but cavities were present in both.

References

∗See note at end.Google Scholar

∗Since the above was written she died. There were no very striking, naked-eye, morbid appearances in the brain. There was adhesion of the meninges to the incus on both sides, but very much more on the left, which was decidedly softer than the right, being almost diffluent. Over the prefrontal lobes the meninges were thickened in patches. The ventricles were dilated and full of fluid. Lungs extensively infiltrated with tubercle; the left lung was more disorganized than the right, but cavities were present in both.Google Scholar

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