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June 9, 1928


Author Affiliations

From the clinic of Drs. J. C. Beck and H. L. Pollock.

JAMA. 1928;90(23):1870-1871. doi:10.1001/jama.1928.92690500002008c

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The report of this case is prompted by its rarity and apparent familial incidence.

Mrs. F. C., seen for an irrelevent complaint, presented also a right facial palsy, with typical distortion. The palsy was apparently of the central type, as the forehead did not evidence any involvement and the orbicularis was unaffected. While voluntary movements were absent, there was some response in emotional movements, as in laughing and smiling. The angle of the mouth had a distinct droop on the affected side; whistling was impossible; she could not show her teeth on that side, nor could she alternately blow up one cheek after the other. Her speech was somewhat impaired. Gustatory involvement was absent, the sense of taste being intact, and the hearing as shown by the usual tests was normal. The electrical reactions were normal. These observations definitely established a central lesion as the underlying cause of

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