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No person should be induced to undertake the cure of such a case: the owner should be persuaded to permit a speedy termination to a life which no skill can render comfortable. Chorea is oftenest observed in young dogs, and especially after distemper; and it seems to depend on a certain degree of primary or sympathetic inflammatory affection of the brain.
"For instance, in one family, for two generations, inebriety appeared in seven out of twelve members, after they had passed forty, and ended fatally within ten years. In another, hysteria, chorea, epilepsy and mania, with drunkenness, came on soon after puberty, and seemed to deflect to other disorders, or exhaust itself before middle life.
"Who always begins his treatment by scaring a patient half to death, I believe, especially if the patient has money," said Millard, who, in his present biting mood, found a grim satisfaction even in snapping at Dr. Legammon's heels. "He told Mrs. Maginnis that it was an aggravated case of chorea, and that severe treatment would be necessary," continued Mrs. Hilbrough.
A very high proportion of older children suffering from the graver neuroses, such as chorea, syncopal attacks, phobias, tics, and so forth, show defective physical development. Scoliosis, lordosis, knock-knee, flat foot, pigeon chest, albuminuria, cold and cyanosed extremities, are the rule rather than the exception.
Neurotic disturbances, such as hysteria, chorea, and, in the opinion of some physicians, sick-headache and early dementia are peculiarly liable to appear and become seated during this period. In short, the previous selfhood is broken up like the regulation copy handwriting of early school years, and a new individual is in process of crystallization.
This high nervous tension may overflow into other channels, into the vascular and excretory system, causing eclampsia; into the muscular system, causing chorea, or, expending itself in the brain, give rise to hysteria when mild or insanity when severe. But the vagi form a very ready channel for such overflow, and hence the frequency of sickness in pregnancy.
As during the years from four to eight there is great danger that overemphasis of the activities of the accessory muscles will sow the seeds of chorea, or aggravate predispositions to it, now again comes a greatly increased danger, hardly existing from eight to twelve, that overprecision, especially if fundamental activities are neglected, will bring nervous strain and stunting precocity.
In early childhood a careful dietetic régime, suitable hygienic surroundings, and a stimulating psychical atmosphere will often effect great improvement. As in chorea, however, relapses are frequent, and there are cases which for some unexplained reason are peculiarly resistant to all remedial influences.
This disorder, so different from the original type, evidently approximates to the modern chorea; or, rather, is in perfect accordance with it, even to the less essential symptom of laughter. A mitigation in the form of the Dancing Mania had thus clearly taken place at the commencement of the sixteenth century. On the communication of the St.
Miscellaneous writer, dau. of a gentleman of Northamptonshire, was m. to a solicitor, who d. a few months afterwards. She was one of the learned ladies who gathered round Mrs. Miscellaneous writer, ed. at Oxf., was titular physician to Charles I. He was a copious writer on theology, natural history, and antiquities, and pub. Chorea Gigantum to prove that Stonehenge was built by the Danes.
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