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Action and static tremors, parkinsonian rigidity, dystonic tongue movement, and athetosis of the limbs have all been conjoined with spastic paraplegia Gilman and Romanul have reviewed the literature on this subject In the authors experience, the picture of parkinsonism with spastic weakness and other corticospinal signs has been the most frequent combination Hereditary spastic paraplegia with optic atrophy This is known as Behr syndrome or optic atrophy-ataxia syndrome, since cerebellar signs are usually conjoined Some of the members of the large family reported by Bruyn and Went also had athetosis The syndrome is transmitted as an autosomal recessive trait, with onset in infancy and slow progression Hereditary spastic paraplegia with macular degeneration (Kjellin syndrome) Spastic paraplegia with amyotrophy, oligophrenia, and central retinal degeneration constitutes the syndrome described in 1959 by Kjellin While the mental retardation is stationary, the spastic weakness and retinal changes are of late onset and progressive.

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Administration or Supervision Most people become educators because they want to help young people grow and develop and because they want to participate in academic life. They are committed to the intellectual process, to the importance of thinking and reasoning, to the discovery and advancement of knowledge. Educators think rst about what they can do to meet those commitments. Administrators or supervisors attempt to facilitate groups of teachers in reaching such goals. The attraction is the possibility of exercising leader-

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someone to sell an option premium There are a few answers to this question: When you are selling options, you do not necessarily have to be correct about where the market is going to end up, just where it will not end up. Your analysis changes to deciding where the market is not likely to go and what conditions would cause the market to trade beyond your strike price. In essence, you are being paid for someone else being wrong. Option sellers have the advantage of the continuous time value decay that plagues the option buyers. As each day passes from the time an option is bought or sold to the last day of trading, the option seller has more of the premium that the buyer cannot recover. The market may move to regain the price, but the time value originally sold can not be recovered. It is often tossed around that a high percentage of options expire as worthless. Figures like 80 or 90 percent of all options held to expiration are at zero value on the day of expiration. This may fall under the category of market myth, but statistically speaking markets sometimes have more volume in out-of-the-money strike prices actively traded than those that are in the money. The nature of the average investor is to spend less on premium and buy limited-risk options, which means that more actual options may have no value early in the contract cycle and must be held to expiration because there is nothing left to do but wait. The actual number of strike prices trading in the money versus out of the money will be about 50/50 depending

When ophthalmoplegia is added, it is called the Barnard-Scholz syndrome Hereditary spastic paraplegia with mental retardation or dementia Many of the children with progressive spastic paraplegia either have been mentally retarded since early life or have appeared to regress mentally as other neurologic symptoms developed Examples of this syndrome and its variants are too numerous to be considered here but are contained in the review of Gilman and Romanul The autosomal recessive syndrome of Sjogren-Larsson, with the onset in infancy of spastic weakness of the legs in association with mental retardation, stands somewhat apart because of the associated ichthyosis Hereditary spastic paraplegia with polyneuropathy We have observed several patients in whom a sensorimotor polyneuropathy was combined with unmistakable signs of corticospinal disease The age of onset was in childhood or adolescence, and the disability progressed to the point where the patient was chair-bound by early adult life.

FIGURE 14-14

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