This is a well-recognized fact.
Constant tremulous agitation of the inferior palpebral and great zygomatic
muscles is pathognomic of the earlier stages of general paralysis.
The countenance has a pleased and benevolent expression. As the disease
advances other muscles become involved, but until complete fatuity is reached,
the prevailing expression is that of feeble benevolence."
As in laughing and broadly smiling the cheeks and upper lip are much raised,
the nose appears to be shortened, and the skin on the bridge becomes
finely wrinkled in transverse lines, with other oblique longitudinal
lines on the sides. The upper front teeth are commonly exposed.
A well-marked naso-labial fold is formed, which runs from the wing
of each nostril to the corner of the mouth; and this fold is often
double in old persons.
[11] See, also, remarks to the same effect by Dr. J. Crichton Browne
in `Journal of Mental Science,' April, 1871, p. 149.
A bright and sparkling eye is as characteristic of a pleased
or amused state of mind, as is the retraction of the corners
of the mouth and upper lip with the wrinkles thus produced.
Even the eyes of microcephalous idiots, who are so degraded
that they never learn to speak, brighten slightly when they are
pleased.
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