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S Weir MitchellBiblio.com

The Case of George Dedlow - First Appearance in The Atlantic Monthly Volume 18 Number 105

Mitchell, Silas Weir & Rhein, John Henry WallaceBiblio.com

A clinical re-examination of the motor-symptoms of chorea.

1898686601898. Phila. M. J. 1. - The Philadelphia Medical Jorunal 1898 8° 10 pp. orig. wrappers. Rare Offprint! Read before the College of Physicians of Philadelphia May 5 1897. "In 1881 one of the authors of this essay pointed out that the previous descriptions of Sydenham's chorea were imperfect and that its symptoms admitted of classification into clinical species or at least varieties. Taking Dr. Weir Mitchell's1 grouping as a basis the cases at his clinic have within a year been re-examined with care and with corroborative results. From the text-books one is led to believe that the movements of chorea follow a definite type in all cases with only occasional variations. It is claimed that the movements are continuous when the disease is advanced rendering voluntary muscular acts impossible or capable of completion with the greatest difficulty; that the movements are increased by voluntary acts though sometimes for a time quieted during such effort The movements are said to be at first simply awkward and incoordinate-a condition which gradually develops into a constant irregular spasm clonic in character. This includes practically all that can be found in the books relaiting to the movements of chorea save the delineation to be found in Dr. Weir Mitchell to be quoted later. In ibis .study an attempt has been made to elaborate more fully the descriptions of the choreiform movements. Some of the cases cited present symptoms familiar enough and are examples of the type usually described. They are briefly reported in order to complete the picture of chorea and that they may be contrasted with the less familiar and if not unrecognized certainly undescribed types. The histories are purposely condensed since much of the data does not in any way pertain to the subject under discussion but full notes of all the cases are accessible." Mitchell & Rhein Silas Weir Mitchell 1829-1914 was an American physician scientist novelist and poet. He is considered the father of medical neurology and he discovered causalgia complex regional pain syndrome and erythromelalgia and pioneered the rest cure. See - JOHN HENRY WALLACE RHEIN M.D. Ph.G. 1869-1925. Arch Neur. Psych. 15/2 1926: pp.260-261. unknown

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