. A treatise on the nervous diseases of children, for physicians and students. eddrowsiness, and a condition of stupor or of coma. Themuscular movements may be tonic at first, but are apt tolead to clonic spasms. No two convulsive seizures areexactly alike, but the student who has seen a single seizurewill not forget the main features of the condition. The 52 THE NERVOUS DISEASES OF CHILDREN. convulsion may come on without warning, or the child mayhave complained of uncomfortable sensations in the head orstomach, of a little dizziness or of nausea; the child gives ashrill cry and at once is th
. A treatise on the nervous diseases of children, for physicians and students. eddrowsiness, and a condition of stupor or of coma. Themuscular movements may be tonic at first, but are apt tolead to clonic spasms. No two convulsive seizures areexactly alike, but the student who has seen a single seizurewill not forget the main features of the condition. The 52 THE NERVOUS DISEASES OF CHILDREN. convulsion may come on without warning, or the child mayhave complained of uncomfortable sensations in the head orstomach, of a little dizziness or of nausea; the child gives ashrill cry and at once is thrown into tonic and clonic con-vulsions. These may be partial or general, unilateral orbilateral. The legs are stiff, the arms bend at the elbow,the wrists are flexed, and the hands clenched, with thefingers firmly closed upon the thumb. The head is thrownback or rotated to one side; the back may be arched, theface is pale at first, but soon reddens and the eyes remainwide open. The pupils do not react. In older childrenthe tongue may be caught between the teeth, and bloody. Fig. 40.—Child of One Year Photographed During a Severe Convulsive Seizure. froth may be noticeable at the lips. In very young chil-dren we have the ordinary foam at the mouth. The respi-ratory muscles are in a condition of spasm ; the child oftenturns blue rapidly and is in danger of asphyxia. Fortu-nately the tonic spasm soon ceases, slighter clonic convul-sions then set in, and after a little the child grows quiet,and is certain to lie in a dazed or stuporous condition for aperiod that may vary from several minutes to as manyhours or days. While the clonic spasm lasts there is im-minent danger of injury to the childs head and limbs inconsequence of the severe jactations, but this danger is notas serious as that from asphyxia during the period of tonicspasm. Causes.—Convulsions always denote cerebral (cortical)irritation. It might be sufficient to state that any morbid CONVULSIONS—ECLAMPSIA INFANTUM
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