Test Motor Function

Ask the patient to open the mouth and stick out the tongue. Normally, the tongue is protruded and lies in the midline. This is demonstrated in Figure 21-20. Deviation of the tongue to either side is abnormal. Because the tongue muscles push rather than pull, weakness of one side results in the tongue's being pushed by the normal side to the side of the lesion.

In Figure 21-21, notice the marked scalloping of the tongue's surface. The patient has a chronic neurologic disease known as amyotrophic lateral sclerosischaracterized by progressive

*Spontaneous contractions of groups of muscles that are visible on inspection.

{This disease is also called Lou Gehrig's disease, after the famous baseball player who was one of its victims.

Figure 21-20 Technique for evaluating the hypoglossal nerve.

Figure 21-21 Amyotrophic lateral sclerosis. Note the scalloping of the tongue.

Figure 21-20 Technique for evaluating the hypoglossal nerve.

Figure 21-21 Amyotrophic lateral sclerosis. Note the scalloping of the tongue.

degeneration of motor neurons. The patient has the typical features of a lower motor neuron bulbar palsy affecting the hypoglossal nucleus: wasting of the tongue with fasciculations.

Baseball For Boys

Baseball For Boys

Since World War II, there has been a tremendous change in the makeup and direction of kid baseball, as it is called. Adults, showing an unprecedented interest in the activity, have initiated and developed programs in thousands of towns across the United States programs that providebr wholesome recreation for millions of youngsters and are often a source of pride and joy to the community in which they exist.

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