Page:The Journal of Nervous and Mental Disease, 1876.djvu/547

 THE J0URNA1 OK Nervous and Mental Disease

Vol. III. OCTOBER, 1876. No. 4.

THE small number of recorded cases of the interesting af- -L fection known as progressive facial atrophy, with the consequent incomplete symtomatology of the disease, and the obscurity of its pathology render additional observations very desirable. The two following cases which have come under my observation, within the past six months, are apparently instances of this disorder, and as such they are therefore of interest. They present, moreover, certain peculiarities which, if they are not of service in clearing up the disputed questions in re- gard to this affeetion, are at least, somewhat suggestive as to some of the hypotheses that have been proposed in respect to its pathology. Case I. The first of the two cases I have to relate, is that of Robert Berger, printer, aged twenty-two, of German parent- age, five feet, five inches in height, weight about one hundred and twenty pounds, dark complexion, and apparently bilious temperament. No family history of nervous disease, and no pre- vious illness since infancy, when he was said to have had typhoid fever. My attention was first called to him in .Tune last, by his employer, who noticed that, in working a hand printing press in hot weather, he perspired only on the right side of his face,