Brif., a metal polisher, forty-seven years old, came on March 10,
1902, to Professor Brissaud's clinic at the Hotel Dieu, complaining
of involuntary closure of the eyes, especially when out walking. In
his family and in his personal antecedents there was little or no
neuropathic or psychopathic tendency. The sole trouble for which he
sought advice was this spasmodic shutting of his eyes, rare enough
under most circumstances, but aggravated instantly by a walk of
even a few paces.
The onset had been quite insidious eighteen months previously, and
at the first the average frequency was scarcely more than thrice or
four times daily. Whenever Brif. passed into direct sunlight the
movement was particularly liable to occur. As long as he remained
seated at his work he was free from it, while he had but to rise
and take a step or two for it to reappear and forthwith commence to
repeat itself. At home any effort engaging his attention inhibited
the tic, nor was there any sign of it in the course of our
interrogation and examination of him.
Even when he was on his feet, the incidence of the act was not
always uniform; if promenading with his wife and children, or
fishing along a river side, or running to catch a tram, he was not
hampered by his affliction. When he rose in the morning, it made
its appearance ere he could reach the window to look out. During
his journeys to and from his place of business, he was generally
unable to moderate the spasmodic movements, particularly towards
evening, whereas his professional pursuits in the daytime, and any
occupation--such as reading the newspaper--when at home again,
wholly counteracted the inclination to tic.
The production of this untimely gesture of his Brif. was disposed
to attribute to the action of sun or wind, though he acknowledged
the regularity of its occurrence irrespective of either. In its
actual nature the contraction was tonic in type and of several
seconds' duration, so that he used to cover some yards with eyes
shut. From the outset the will had always exercised a marked
influence on it, so much so that on certain days and for a certain
space he could check the convulsion, and even when it was prolonged
he contrived by volitional effort to open his eyes sufficiently to
pilot himself in avoiding obstacles.
Careful search by the ordinary tests at the Quinze-Vingts hospital
failed to reveal any abnormality whatever in his eyes. On our part,
we satisfied ourselves that there was no restriction of the visual
fields.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account