At length the day arrives when the hand is unequal to the task, and the
patient endeavours to utilise more resistant bodies, such as the back of
a chair or the wall of the room, as in a case of retrocollis reported by
Brissaud. These devices in their turn prove insufficient, and relief is
obtained only in the recumbent position. Fournier[144] has seen a case
of convulsive twitching of the right sternomastoid and trapezius
arrested when the head was reclining on a pillow.
Even in bed, however, there is usually something to complain of: the
pillow is too high, or too low, or too soft; the rustle of the packing
is disagreeable, the sheets are too rough, etc., etc. It is then that
all sorts of unlikely arrangements are adopted, and the patient puts his
head under the bolster, or lets it hang over the edge of the bed, or
piles up additional cushions and mattresses calculated to retain it in
the desired situation.
Frequently the stratagems are highly ingenious and complicated.
Madame K.,[145] forty-three years of age, suffers from clonic
movements of the head which disappear with the adoption of a
torticollic attitude, the face looking to the left. Nothing is
easier than voluntarily to correct this attitude, but the clonic
movements at once reassert themselves, although they may
momentarily be kept in abeyance by placing the hand on the chin.
Numerous and ingenious have been the devices framed by this lady,
but in no instance has their success been other than transient. Her
latest invention is a stiff high collar fashioned of several
thicknesses of a heavy material. At the risk of strangling herself
she has so compressed her neck that no movement is possible, but
the right arm has now become the seat of action.
A patient of Grasset[146] used to promenade in the grounds of the
hospital holding a cane in his teeth and maintaining his head in
position by keeping one finger on the end of the stick.
Another patient, under the care of Noguès and Sirol,[147] whose
head was fixed in irresistible anteroflexion and rotation to the
left, had invented a most elaborate piece of apparatus, the
adoption of which was followed by perfectly satisfactory results.
On the frame of a pair of pince-nez deprived of the glasses he
fixed a piece of iron wire ten centimetres long in such a way that
it stood out from the spring at right angles to the plane of the
pince-nez. It was sufficient to wear this thing on his nose to
inhibit the spasm, and to be able to talk, walk, do anything
unhampered by his torticollis; it was not even necessary to
concentrate his gaze on the extremity of the rod.
Public-domain text, read in full here on John Shaqi.
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