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With this beginning Dr. Hence, the hesitation in speech arises and as the repressed thoughts gradually are forced into the unconscious, there finally develops the defective speech automatism, either stammering or a spastic aphonia. This arises in childhood after the child has learned to speak." Words in parentheses mine but taken from Dr. Coriat's paper; for explanatory purposes.
Lawrence mentions a child with brain and cranium deficient that lived five days. Putnam speaks of a female nosencephalous monster that lived twenty-nine hours. Angell and Elsner in March, 1895, reported a case of anencephaly, or rather pseudencephaly, associated with double divergent strabismus and limbs in a state of constant spastic contraction. The infant lived eight days.
On a ride from the Nambu Bus Terminal to Chongju, Sang Huin's sleep was spastic like a nervous twitch that would every now and then startle him into wakefulness and he would wonder where he was: Muguk, Chongju, Seoul, or "Miguk." Sometimes at the primary school in Muguk he would ask, "Where are you from?" He thought of this in one of his startled awakenings.
Psychoanalysis was deferred for the time, and recourse was had to indirect suggestion and re-education. The first function to be restored was the power of bending the leg which hitherto had been held entirely spastic. The patient was assured that while she had lost the power of using the limb, a little relaxation of the muscles of the front of the leg would permit it to be bent.
Infantile Cerebral Palsy sometimes brings about a condition known as "Spastic Speech," while whooping cough, scarlet fever, measles, meningitis, infantile paralysis, scrofula and rickets are sometimes responsible for the disorder.
In spastic speech, there is present a noticeable hyper-tonicity of the nerve fibers actuating the muscles used in speaking as well as marked contractions of the facial muscles. UNCONSCIOUS STUTTERING: This is a misnomer because there can be no such thing as unconscious stuttering.
In the living subject, by using a fine needle-like electrode and a very weak galvanic current, he has been able to differentiate the nerve bundles for the various groups of muscles. In several cases of spastic paralysis he succeeded in picking out in the nerve-trunk of the affected limb the nerve bundles supplying the spastic muscles, and, by resecting portions of them, in relieving the spasm.
In a case of spastic contracture of the pronator muscles of the forearm, for example, an incision is made along the line of the median nerve above the bend of the elbow.
With the advent of a disagreement which could not be settled her way by her usual symptoms, there followed, not by any means through her volition or conscious purpose, more severe symptoms; namely, spastic paralysis and aphonia, which, in a general way, were suggested by her patient.
There is no evidence of paralysis of the facial muscles. In fact, the cranial nerves, by detailed examination, are intact, except in so far as respiration and speech are concerned. The right leg is held entirely spastic, the muscles on both sides of the joints, that is, flexors and extensors, being equally contracted.
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