. A treatise on the nervous diseases of children : for physicians and students. y dis-tinguish between a hemiplegia anddiplegia (double hemiplegia) orparaplegia. Monoplegias are rela-tively rare. The rigidity of themuscles, the contractures resultingfrom the same causes, and increaseof all the deep reflexes are the con-stant accompaniment of these pal-sies. Coma and convulsions occurin the initial stage of the acuteforms, and the convulsions at leastare often repeated during the laterstages of the disease. The cere-bral palsies of children are morecommonly associated with comaand convulsions t
. A treatise on the nervous diseases of children : for physicians and students. y dis-tinguish between a hemiplegia anddiplegia (double hemiplegia) orparaplegia. Monoplegias are rela-tively rare. The rigidity of themuscles, the contractures resultingfrom the same causes, and increaseof all the deep reflexes are the con-stant accompaniment of these pal-sies. Coma and convulsions occurin the initial stage of the acuteforms, and the convulsions at leastare often repeated during the laterstages of the disease. The cere-bral palsies of children are morecommonly associated with comaand convulsions than are those ofthe adult; the former are generallydue to cortical processes, the latterto intra-cerebral conditions. The frequent repetition ofconvulsions is equivalent to the establishment of an epi-lepsy which may continue throughout life, and the samechanges which have caused the epilepsy may also be re-sponsible for the defective mental development, which mayrange from weak-mindedness to marked imbecility and com-plete idiocy. Disturbances of motion, associated, ataxic,. Fig. 138 — Left in Second Year. Con-tractures of arm and fingers.(See also Fig. 75.) 526 THE NERVOUS DISEASES OF CHILDREN; athetoid, choreiform, and even cataleptic movements, occurquite often in connection with these diseases. All of themmay be grouped under the general heading of post-para-lytic (not necessarily post-hemiplegic) disturbances. Apha-sia, so common in apoplectic disorders of the adult, is ararer complication in infantile palsies. Among the negative symptoms which are of the greatestimportance in attempting a differential diagnosis betweenthe cerebral spastic and the spinal palsies, we may mentionthe entire absence of changes in the electrical reactions andthe development of only slight atrophy in association withthe palsy. Disturbances of sensation are rare, but as theseare absent in the spinal forms as well, they help little inattempting a differential diagnosis between
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