Abstract
Every experienced neurologist has seen a few patients with absence of the tendon reflexes for which no cause could be found. Acting on the suggestion of Dr. James Collier, I mention these cases here and submit that some of them are incomplete examples of this disorder. For proof I await a case in which a tonic pupil appears under observation. If my views are correct the disorder I am describing may manifest itself in the folowing forms:— (1) The complete from —typical tonic pupil and absence of reflexes. (2) Incomplete forms: (<i>a</i>) tonic pupil alone; (<i>b</i>) atypical phases of the tonic pupil alone ("iridoplegia"; "internal ophthalmoplegia"); (<i>c</i>) atypical phases of the tonic pupil with absent reflexes; (<i>d</i>) absent reflexes alone. <h3>The Tonic Pupil.</h3> In its most characteristic form the tonic pupil is usually unilateral and almost always larger than its normal fellow; it is never miotic.
Published Version
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