Exegesis:
sparaxan (9.26) ‘convulsing.’ The word clearly points to a seizure, a convulsion (cf. 9.20, Lk. 9.39). A man suffering an attack of this sort is described as anthrōpos sparattomenos ‘a man convulsed.’
to pneuma to akatharton ‘the unclean spirit’ is in the nominative case, and is the subject of all the verbs in the verse.
sparaxan … kai phōnēsan ‘convulsing … and shouting’ are both aorist participles, whose action is simultaneous with that of the main verb exēlthen ‘went out.’ The Revised Standard Version “crying” should not be understood in the sense of weeping.
Translation:
Convulsing him should be translated by a term used to identify such types of seizures as occur in epilepsy. It is not enough to say ‘shook him.’ Such fits may of course be described in various ways in different languages. In Tzeltal, for example, such an attack is spoken of as ‘his wind was stopped.’
Crying with a loud voice is simply ‘yelled,’ but note that the spirit is the one who is credited with the scream, not the man.
In some languages the three actions of ‘convulsing,’ ‘yelling,’ and ‘coming out’ may have to be placed in a temporal sequence, but generally they can be rendered as ‘as the unclean spirit caused the man to have a fit and screamed out it came out of him.’
Quoted with permission from Bratcher, Robert G. and Nida, Eugene A. A Handbook on the Gospel of Mark. (UBS Handbook Series). New York: UBS, 1961. For this and other handbooks for translators see here .

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