. Eine Abhandlung über das Nervensystem Erkrankungen von Kindern, für Ärzte und Studenten. Alis anticus. Diese correspondswith latterform der Lähmung der oberen Arm Typ. Inder unteren Extremität der pero - neal Gruppe Muskeln ist morefrequently betroffen als - wohin; weiter in der Frequenz theposterior Schienbeinkopf; dann das Ein-terior Oberschenkelmuskulatur und leastfrequently aller, die posteriorthigh Muskeln. Die paralyzedin tibialisanticus ist im allgemeinen Zusammenhang mit dem Quad - riceps extensor. Diese Muskeln werden durch verschiedene Nerven versorgt, sondern in der Verlängerung Bewegung des Beines areassociated während des Gehens. Die in-volv

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. A treatise on the nervous diseases of children, for physicians and students. alis anticus. This latterform of paralysis correspondswith the upper-arm type. Inthe lower extremity the pero-neal group of muscles is morefrequently affected than -anyother; next in frequency theposterior tibial; then the an-terior thigh muscles, and leastfrequently of all, the posteriorthigh muscles. The tibialisanticus is generally paralyzedin connection with the quad-riceps extensor. These muscles are supplied by different nerves, but areassociated in the extension movement of the leg during walking. The in-volvement of associated muscles in poliomyelitis would furnish the data forthe study of spinal localization if the disease led more frequently to a fatalissue and to post-mortem examinations. An entire extremity, or a large group of muscles, may be permanentlyparalyzed; in some cases the loss of function may be restricted to a singlemuscle. There is no little difficulty at times in making out the one or moremuscles which have been permanently affected-, and in a number of cases. Fig. 60.—Paralysis of Upper-arm, with Atrophy(Left Side) due to an Attack of Poliomyelitisin Early Childhood. 254 THE NERVOUS DISEASES OF CHILDREN. which have come under my observation a difference in the electrical behaviorhas been the only safe way of determining which muscle showed a departurefrom the normal. In addition to this retrogressive form of paralysis, whichmay at times be widely distributed and at other times curi-ously limited, we have to notice the rapidly developingatrophy of the paralyzed muscles. I have seen a markeddifference between a paralyzed leg and the other normalmember within three days of the first onset of the disease, and it is not at all unusual to recognize the wasting of thelimb by superficial inspection within the first week or two.The wasting is developed entirely in keeping with the dis-tribution of the paralysis, and this is so true that in one in-stance, which I can rec

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