Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . t, and the tongue protrudes. Xo characteristic physicalsigns of degeneration are apparent on the cranium of the amau-rotic idiot1 (see Fig. 187), except that, owing to the general atonybackward. 0f the musculature, the patient is unable to hold up his See page 583. Amaurotic — head thrown forward or IDIOCY. The face is delicate. The skull of the cretin1 (see Fig. 190) is ggnfc:rather larger than normal, sparsely covered by thin, lusterless j?ongudlnshair, an
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . t, and the tongue protrudes. Xo characteristic physicalsigns of degeneration are apparent on the cranium of the amau-rotic idiot1 (see Fig. 187), except that, owing to the general atonybackward. 0f the musculature, the patient is unable to hold up his See page 583. Amaurotic — head thrown forward or IDIOCY. The face is delicate. The skull of the cretin1 (see Fig. 190) is ggnfc:rather larger than normal, sparsely covered by thin, lusterless j?ongudlnshair, and set upon a thick, short neck. The face is weak andsenile, the eyelids and lips are thick, the tongue is heavy andoften protrudes from the half closed mouth. Meningitic, en-cephalitic, or paralytic idiocy (see Fig. 191) usually presents no f^^me^tcharacteristic cranial physical signs, except when due to severetraumatism at birth or after. In some congenital cases thereis marked flattening of the temporal bone of one side corre-sponding with the lesion in the brain (porencephalia, etc.). In of cranialnerves; Fig. 188, ick type.) (Sheffield.) infantilism (Figs. 192, 193) the skull is smaller than normal, and Infantthe face is either plump and senile (typus Brissaud), or thin,delicate and infantile (typus Lorain). The teeth of the great majority of idiotic children are irregu-larly implanted, faulty in form, and excessive or deficient innumber. Owing to irregularity of the dental arches and sizeof the teeth, the patient is frequently unable to close his mouth—which should not be mistaken for the open mouth associatedwitli nasal obstruction—and the constantly dribbling salivanot rarely leads to painful excoriation of the chin. The lipsare often congenitally malformed. The palate is high and narrowand quite frequently clefted. Internal inspection of the noseusually reveals numerous deviations from (lie normal con-struction. The ears often project or are asymme
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
