. A treatise on the nervous diseases of children, for physicians and students. d reflexes, rigidity, and con-tractures. Cutaneous reflexes are, at times, normal, at other times diminishedor entirely absent. Hyperidrosis or hypidrosis (unilateral or bilateral) havebeen reported. In the cervical cases a narrowing of the palpebral fissure and * This and the following figure are reproductions of specimens prepared and pho-tographed by Dr. Herter, and kindly furnished me for use in this book. TUMORS OF THE SPINAL CORD AND ITS MENINGES. 33 r contraction or dilatation of the pupils must be added to t
. A treatise on the nervous diseases of children, for physicians and students. d reflexes, rigidity, and con-tractures. Cutaneous reflexes are, at times, normal, at other times diminishedor entirely absent. Hyperidrosis or hypidrosis (unilateral or bilateral) havebeen reported. In the cervical cases a narrowing of the palpebral fissure and * This and the following figure are reproductions of specimens prepared and pho-tographed by Dr. Herter, and kindly furnished me for use in this book. TUMORS OF THE SPINAL CORD AND ITS MENINGES. 33 r contraction or dilatation of the pupils must be added to the. possible symptomsof this curious disease. If the affection extends into the medulla and pons,disturbed sensation in the area supplied by the trigeminus is present, togetherwith atrophy and paralysis of the tongue, hoarseness, difficulty of deglutition,and disturbances of the senses of taste and hearing. Other cranial nervenuclei may be involved ; nystagmus may be present; polyuria and increasedsalivation have also been noticed. Pains and rigidity in the upper portion of. FlG. 77.—Section through Part of Fourth Dorsal Segment. The central canal is in-vaded by glia cells and surrounded by groups of cells and nuclei resembling those ofthe ependyma. (Herter.) the spinal column are not infrequent, and scoliosis or a combination of scoli-osis and kyphosis may also be present. Vesical and rectal disturbances areat times superadded. Syringomyelia is practically a disease of adolescence and of adult life, butsome of its symptoms can at times be traced back to the second decade oflife. The earliest case which I have seen was in a woman of twenty, inwhom the first symptoms began at the age of fifteen. It is interesting tonote, however, in this connection, that a disease which is intimately related 332 THE NERVOUS DISEASES OF CHILDREN. (at least in its pathology) to syringomyelia, has been observed by Dr. Herterin a child one year of age. Through his kindness I am enabled to insert a
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