In the course of the study of extrapyramidal diseases and their associated movements, an opportunity presented itself for the observation of 2 patients, twins, with hepatolenticular degeneration over a period of three years. During the early part of the period of observation, the beginning of the characteristic Flügelschlagen movements was observed in 1 twin. With the anticipation of progression of these movements, moving picture studies were made throughout the period.
REPORT OF A CASE
—In September 1934 Bertha and Ethel H., twin sisters, 16 years of age, were admitted to the neurologic service of the Montefiore Hospital. They were American-born Jewish girls of Austrian descent, their parents being first cousins; they had 2 brothers, aged 25 and 14, who were well. The family history was without significance for nervous ailments. In 1928 Bertha, at the age of 10, had a period of daily vomiting lasting about three months. Laparotomy
Goodhart SP, Balser BH. SOMATOTOPIC LOCALIZATION IN THE EXTRAPYRAMIDAL SYSTEM. Arch NeurPsych. 1938;39(5):1043–1046. doi:10.1001/archneurpsyc.1938.02270050169010
Customize your JAMA Network experience by selecting one or more topics from the list below.