The medical diseases of children . ch the addition there is some screaming, especially when handling the in-fant, but the hydrocephalic cry, the shrill piercing yell which hasbeen so much emphasized, is comparatively rare. The anterior fonta-nelle is bulging, and this points definitely to the presence of intracranial 196 INFECTIVE DISEASES disease. Usually some vomiting is present, and this tends to occurthroughout the course of the disease, and may be grouped intoperiods lasting three or four days. Constipation is commonly found,but not infrequently there are intermittent attacks of
The medical diseases of children . ch the addition there is some screaming, especially when handling the in-fant, but the hydrocephalic cry, the shrill piercing yell which hasbeen so much emphasized, is comparatively rare. The anterior fonta-nelle is bulging, and this points definitely to the presence of intracranial 196 INFECTIVE DISEASES disease. Usually some vomiting is present, and this tends to occurthroughout the course of the disease, and may be grouped intoperiods lasting three or four days. Constipation is commonly found,but not infrequently there are intermittent attacks of diarrhoea whichmay be severe, as is shown by the sudden depression of the the first few days, the infant usually loses its power of swallowing,and has to be fed by a nasal tube. The eyes do not, as a rule, showany squinting until late in the disease, and when present this indicatesextension forward of the meningitis to the anterior base of the remain three very important and characteristic signs to be. Fig. 42. -Hydrocephalic Stare : a case of Congenital, Non-syphilitichydrocephallts, aged 7 months. mentioned. Of these, the first is the loss of sight which occurs in thegreat majority of the cases, and is not associated with any changes inthe fundi of the eyes, nor with any paralysis of the pupils. It isdependent upon the loss of function of the cells in the occipital regionsof the brain, but it does not always mean that there is actual meningitispresent over these areas. Later, should hydrocephalus develop, thepupils become dilated and paralyzed. The second characteristic signis the so-called cerebral stare, which is due to spasmodic retractionof the upper eyelids (Fig. 42). When marked, it is extremelysuggestive of this disease. The third special sign is one of less POSTERIOR BASIC MENINGITIS 197 importance, and consists of perpetual chewing movements of themouth and jaw. As the disease progresses, the clinical picture becomes a verycharacteristic
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatrics, bookyear1
