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In certain cases trismus has been observed","author":"Marie; Neurologique, Levy (Revue","unstructured":"Marie and Levy (Revue Neurologique, 1920) have drawn attention to a group of cases in which the musculature of the face, tongue, jaws, and pharynx is especially affected by the occurrence of either involuntary movements or hypertonus. In these patients there may be clonic contractions of muscles or parts of muscles, or rhythmic tremors of antagonistic groups, which in the case of the jaw muscles may result in chattering of the teeth. In certain cases trismus has been observed."},{"issue":"55","key":"ref_20","first-page":"283","volume":"1921","author":"Symonds, C.P.Encephalitis lethargica","unstructured":"Symonds, CP. Encephalitis lethargica. 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Q J Med 1923;63: 173-92.","journal-title":"Q J Med"},{"key":"ref_23","article-title":"The famous 'elephant man' (Merrick), whom I once saw, and who died at the London Hospital at the age of 27 years","volume-title":"had many deformities of the nature of pachydermatoceles as well as many boney thickenings and outgrowths. There was no post-mortem examination, but a regular periosteal neurofibromatosis may well have played a part in his osseous deformities","year":"1890","unstructured":"The famous 'elephant man' (Merrick), whom I once saw, and who died at the London Hospital at the age of 27 years (on April 11, 1890) had many deformities of the nature of pachydermatoceles as well as many boney thickenings and outgrowths. There was no post-mortem examination, but a regular periosteal neurofibromatosis may well have played a part in his osseous deformities."},{"key":"ref_24","article-title":"Periosteal neurofibromatosis... hardly recognized as such until Brooks and Lehman drew attention to the subject in 1924... is probably present in all the cases roughly grouped together as neurofibromatosis elephantiasis of limbs, especially those which show definite excess in bone length. Such cases are apparently nearly always unilateral","unstructured":"Periosteal neurofibromatosis... hardly recognized as such until Brooks and Lehman drew attention to the subject in 1924... is probably present in all the cases roughly grouped together as neurofibromatosis elephantiasis of limbs, especially those which show definite excess in bone length. Such cases are apparently nearly always unilateral."},{"key":"ref_25","first-page":"151","article-title":"Periosteal neurofibromatosis, with a short consideration of the whole subject of neurofibromatosis","volume":"23","author":"Parkes Weber, F.","year":"1929","unstructured":"Parkes Weber, F. Periosteal neurofibromatosis, with a short consideration of the whole subject of neurofibromatosis. 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