Southern medicine and surgery [serial] . or obturator. May, 1924. ORIGINAL COMMUNICATIONS 22t Marasmatic hemorrhageSoftening or sclerosis of brainEncephalitis, usually associated withsome infectious disease. Occasion should be taken to empha-size the work of the neurological menand pediatricians, who are calling formore care and co-operation in effort toget universal recognition and treat-ment of intra-cranial hemorrhage ofthe new born. Four clinical types are mental impairment usually is inproportion to the extent of the spasti-city. 1. Spastic diplegia, inv
Southern medicine and surgery [serial] . or obturator. May, 1924. ORIGINAL COMMUNICATIONS 22t Marasmatic hemorrhageSoftening or sclerosis of brainEncephalitis, usually associated withsome infectious disease. Occasion should be taken to empha-size the work of the neurological menand pediatricians, who are calling formore care and co-operation in effort toget universal recognition and treat-ment of intra-cranial hemorrhage ofthe new born. Four clinical types are mental impairment usually is inproportion to the extent of the spasti-city. 1. Spastic diplegia, involving bothupper and lower extremities. In thisclass the most marked mental cases areseen. 2. Spastic paraplegia, or involve-ment of the lower extremities. Herethe mental impairment, as a rule isless. 3. Spastic Hemiplegia. The lesioninvolves one side and the mentality isgenerally good. 4. Spastic monoplegia usually fol-lows a post-natal encephalitis, asso-ciated with some of the infectious dis-eases and mental impairment is *S A Illustrating the exposure of the branches of the sciatic- to the hamstrings (motor nervesto the biceps, semimembranosus and semi-tendinosus), 222 SOUTHERN MEDICINE AND SURGERY May, 1924 It is generally conceded that opera-tion on the brain itself in the estab-lished spastic paralysis has not beenhelpful. In view of this, both neuro-logical and orthopaedic surgeons havebeen endeavoring to develop some typeof treatment offering encouragementto this great group of defectives. Children who have a mild type ofspastic paralysis, if taken early and putinto the hands of a competent teacherand physical educational worker, canbe trained to overcome much of theirdisability. The majority of cases, tho,are so crippled and ungainly that moreheroic measures must be sought to givethem relief. The cycles of treatment these caseshave gone through, bibliographicallyspeaking are. 1. Tenotomies 2. Tendon Transplantation 3. Resection of the posterior nerveroots
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
