. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. ects are present, but these differ some-w^hat from genuine aphasia, because if the lesion comes on in very earlylife before the child has learned to talk, the speech is undeveloped ratherthan impaired. The face in old standing cases is usually not paralyzed,and the arm is more paralyzed and contractured than the leg. As a rulethere is no hemianesthesia. The limbs may be cold and blue, but the reactionsof degeneration are not present, and fibrillation is not seen. The gait istypicall
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. ects are present, but these differ some-w^hat from genuine aphasia, because if the lesion comes on in very earlylife before the child has learned to talk, the speech is undeveloped ratherthan impaired. The face in old standing cases is usually not paralyzed,and the arm is more paralyzed and contractured than the leg. As a rulethere is no hemianesthesia. The limbs may be cold and blue, but the reactionsof degeneration are not present, and fibrillation is not seen. The gait istypically hemiplegic, and the arm is usually carried flexed and contracturedat both the elbow and wrist. The bladder and bowel are not paralyzed. Diplegia is simply a double hemiplegia, and is sometimes called bilateralspastic hemiplegia. The spasticity of the limbs is especially noticeable, notbecause the contractures are worse than in hemiplegia, but because, beingon both sides, they give the patient a characteristic aspect. In one respect,however, the contractures in diplegia appear to differ from those of hemi-. FiG. 369.—Porencephalus.—Lloyd. CEREBRAL PALSIES OF CHILDREN. 701 plcfria—they arc somewhat more marked in the lower liiii!)s. This givesthe eliild a eliaraelerisiie <::ait, if he is still al)le to walk. The limbs areusually addueted and extended, and the feet mayl)e crossed and held in the position of oep reflexes are exajifjjerated; sen-sation is unimi)aired ; and the upper limbs sharein the riy:idity. In these cases of doniile henn-l)lepa there may be imbecility or idiocy. Epi-lepsy and athetosis may complicate the case;speech defects are common ; and strabismus andnystairmus are sometimes seen. The conditiondepends on a lesion which involves both hemi-spheres, and the destruction of brain tissue issometimes great. of cerebral origin has been de-scribed only in recent years, and its pathology isstill a matter of some obscurity. Some authorsclaim that
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
