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There are two conditions from which, however, this disease is not diagnosticated very readily; one is an inflammation of the peripheral motor depression nerves which have their origin in the medulla, bulbar neuritis as it is sometimes called, and the other is the disease known as asthenic bulbar disease, the absence of fibrillary tremor, the absence of any symptoms of spasticity, and the comparatively slight atrophy might always tend to suggest the former.

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