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His three papers, which appeared in the Medical Record, New York, in the issues of February 7 and 8, and March 8 1914, are entitled: "Some Observations upon the Etiology of Mental Torticollis," "A Further Study upon Mental Torticollis as a Psychoneurosis," and "Remarks upon Mental Infantilism in the Tic Neurosis." A fourth paper by Clark on tics appeared in the Medical Record of January 30, 1915.
A similar condition may implicate the fascia lata of the thigh, or the calf muscles and their aponeuroses crural fibrositis. In painful stiff-neck, or "rheumatic torticollis," the pain is located in one side of the neck, and is excited by some inadvertent movement. The head is held stiffly on one side as in wry-neck, the patient contracting the sterno-mastoid.
Rheumatism in childhood is not manifested by acute and short-lived attacks of great severity so much as by a long-continued succession of symptoms of a subacute nature, a transient arthritis, perhaps, succeeding an attack of sore throat with torticollis, to be followed by carditis, to be followed again by another attack of tonsillitis. And so the cycle of symptoms revolves.
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