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Gray has seen only one case of acute palmus, and records it as follows: "It was in a boy of six, whose heredity, so far as I could ascertain from the statements of his mother, was not neurotic. He had had trouble some six months before coming to me. He had been labeled with a number of interesting diagnoses, such as chorea, epilepsy, myotonia, hysteria, and neurasthenia.
A tall girl afflicted with chorea St. Vitus's dance was dancing with every limb, without a pause, the left side of her face being continually distorted by sudden, convulsive grimaces. A younger one, who followed, gave vent to a bark, a kind of plaintive animal cry, each time that the tic douloureux which was torturing her twisted her mouth and her right cheek, which she seemed to throw forward.
Chorea has appeared in various epidemic forms under the names of St. Vitus's dance, St. Guy's dance, St. Anthony's dance, choromania, tanzplage, orchestromania, dance of St. Modesti or St. John, the dancing mania, etc.; although these various functional phenomena of the nervous system have been called chorea, they bear very little resemblance to what, at the present day, is called by this name.
Chorea Viti, he says, attacks the youth of both sexes, but this disease only those advanced in years; and adds, that it has hitherto happened to him to have seen only two of these cases; and that he has nothing to offer respecting them, either in theory or practice .
There are dull and bright, sacred and profane, coarse and fine egotists. 'Tis a disease that, like influenza, falls on all constitutions. In the distemper known to physicians as chorea, the patient sometimes turns round and continues to spin slowly on one spot. Is egotism a metaphysical varioloid of this malady?
We may, and often do, have the organs of respiration attacked; we have sometimes congestion of the liver, or mucous inflammation of the bile ducts, or some lesion of the brain or nervous structures, combined with epilepsy, convulsions, or chorea. Distemper is also often complicated with severe disease of the bowels, and at times with an affection of the eyes.
Evidence obtained from clinical observations has tended of late to locate the pathological lesions of chorea in the cerebral cortex. Dr. Godlee's operation of removing a tumor from the brain marks an important step in cerebral localization, and cerebral surgery bids fair to take a prominent place in the treatment of mental diseases.
Gentlemen, let me give you a specimen of the false reasoning used in support of their theory by those who believe in the insanity of the will. "It would be as rational," says one of their leading writers in this country, "to punish a schoolboy whose antics and grimaces, the result of chorea [St.
Morbid changes in the nutrition of the brain and spinal cord, manifesting themselves by epilepsy, chorea, hysteria, and other diseases, occasioned by lesion of some of the nervous extremities in remote places, as by worms, calculi, tumors, carious bones, and in some cases even by very slight irritations of the skin.
The Streptococcus viridans is one of the most dangerous of these bacteria. Mild endocarditis is rarely a primary affection, and is almost invariably secondary to one of the diseases named above. Nearly 75 percent of secondary endocarditis occurs as a complication of acute articular rheumatism and chorea, or subsequently.
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