102 



EMANUEL BERGMAN 



filled with soup or some other liquid he has generally spilled. In like 

 manner it hüs caused him great difficulty to put a cup of coffee to 

 his mouth without spilling it. When he has been eager or feh embarras 

 sed the contents have been spilled without fail. On such occasions 

 he has found it preferable to raise the spoon or cup with his left hand. 

 The patient says he has never felt any trembling in his head or legs. 



Alfred N. never tasted alcoholic liquors until the age of 16 to 18, 

 and since then like his father he has been fairly temperate. He has 

 got drunk at times, it is true, but on the other hand weeks have some- 

 times passed when he has consumed no spirits at all. According to 

 statement there has been no misuse oif coffee, 3 cups a day at the most. 



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Fig. 2. Specimen of liandwriting by Alfred N. October 17th, 1919. 



At the age of about 40 years Alfred N. began to chew snuff. After a 

 year he proceeded to chew tobacco, which he has kept doing ever since. 

 ' The patient, who had the measles when a child, has always been 

 healthy and strong. Like his father, who was still bigger and stronger, 

 he has always had good teeth. In July 1919 he felt pains in his back, 

 and, paralysis in the legs supervening a month or so later, he was taken 

 in at the Medical' Department of Uppsala University Hospital on Octo- 

 ber 10th of the same year. F>om the Journal (number 994/1919) the 

 following may be quoted: »The patient is a tall and strongly built 

 man, who presents signs of a tumour in the spinal cord. During his 

 stay in the hospital he has become perfectly paralyzed and devoid of 

 feeling in his legs and the lower part of the abdomen. (Here, however, 

 only such detail has been admitted as can be of some interest for the 

 judgement of the tremor.) The patient has a slight tremor in the 

 eyelids, no nystagmus, as a rule no tremor in the head. When the 

 patient exerts himself, e. g. when showing his teeth or pushing the 



