126 PHYSICAL EXPRESSION. 



. OrMcularns relaxed in 10. Orbicularis relaxed alone in 3 cases. 

 With the nervous hand 4 

 With twitchings . . 3 



10 



As to the general character of this group of thirty- 

 four nervous cases in which nerve-muscular signs 

 Avere specially noted, no cases of known organic 

 brain disease were included, and all were under fif- 

 teen years of age. I have abstracted and summarized 

 the diagnosis of the nineteen cases in which the 

 " nervous hand " was seen : " Headaches," 6 ; " neu- 

 rotic temperament/"' 3 ; " anaemia and headaches," 2 ; 

 "headache and somnambulism," 1; "restless sleep," 1 ; 

 " laryngisrnus," 1 ; " a dull child with congenital 

 ptosis," 1; "old rickets," 1; "debility," 2; "slight 

 chorea," 1. The cases of " finger- twitching " had the 

 same general characters as those with the " nervous 

 hand," therefore I do not further describe them. 



As to the kinds of finger-twitching, the varieties 

 were noted as follows : Simple twitching, 9 ; flexor 

 and adductor, 5 ; flexor, 3 ; abductor-adductor, 1 ; 

 extensor and abductor-adductor, 1. As shown in 

 the tables above, the "nervous hand " was associated 

 with " finger-twitches " in eight cases. 



In cases where the right and left hands were com- 

 pared, we find a difference in six cases, always to the 

 disadvantage" of the left hand ; it specially presented 

 "the nervous position" in four cases, and finger- 

 twitches were specially marked on the left side in 

 two cases. 



The cases with "relaxed orbicularis " were 

 specially marked by recurrent headaches, some with 

 optical illusions and scarlet zigzag forms. 



