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Updated: May 4, 2025
Brissaud and Meige describe the case of a male of forty-seven who presented nothing unusual before the age of sixteen, when he began to grow larger, until, having reached his majority, he measured 7 feet 2 inches in height and weighed about 340 pounds.
As an illustration, it may not be amiss to translate the following passages from 'Les Anglais en Guyenne, by M. D. Brissaud: 'The Aquitanians had reason to thank the English Government for not having treated them as foreigners, like the inhabitants of a conquered province, as the people of Ireland, for example, had been treated, and for having confined its action to the development of judicial institutions, of which the germ was found in the feudal system of France.... The kings of England not only refrained from setting themselves in opposition to the local justice of the arriere-fiefs; we have seen them, and we shall see them again in the history of the communal movement, favour the extension of trial by peers, while accommodating at the same time their administrative system to the spontaneous manifestations of opinion in a continental country.
In other words, they are diseased, and fall within the domain of the pathologist. Here then, as Brissaud says, you have your giants despoiled of their ancient and favourite prestige. Mythology yields the place to pathology." The causes of gigantism and of dwarfs are now well known.
It may be mentioned here that Brissaud and Meige noticed the same loss in height, only more pronounced, in a case of gigantism, the loss being more than 15 inches. In Starr's case the tongue was normal and there was no swelling of the thyroid.
English translation by S. A. K. Wilson. New York, 1907. This book contains an extended bibliography. The usual conception of tics, as laid down by Brissaud, Meige and Feindel, may be stated as follows: Tic movements are physiological acts which were originally functional and purposeful in character, but which have become habits, apparently purposeless and meaningless.
Among those who have contributed most to this subject may be mentioned Magnan and his pupils, especially Saury and Legrain, Gilles de la Tourette, Letulle, Guinon Noir, Pitres, Cruchet, Grasset, Trousseau, Charcot, Brissaud Meige and Feindel.
The functions of the thoracic and abdominal organs seem to be normal, and death is generally due to some intercurrent disease, possibly tuberculosis. A condition akin to myxedema occurs after operative removal of the thyroid gland. In a most interesting lecture Brissaud shows the intimate relation between myxedema, endemic cretinism, sporadic cretinism, or myxedematous idiocy, and infantilism.
Chiromegaly is a term that has been applied by Charcot and Brissaud to the pseudoacromegaly that sometimes occurs in syringomyelia. Most of the cases that have been reported as a combination of these two diseases are now thought to be only a syringomyelia. A recent case is reported by Marie.
His lead was subsequently followed up by Brissaud, and by the latter's pupils Meige and Feindel, the latter two authors giving us a comprehensive discussion of the subject in their well-known classic. More recently the Freudian school has attempted to dig down into the roots of the tree which ultimately sends forth its branches in the guise of tics. Tics and their treatment.
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