The medical diseases of children . lic 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 sign


The medical diseases of children . lic 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 one : the child is unconscious, and lies with its head. Fig. 43.—Posterior Basic Meningitis : showing Opisthotonos, Rigidity,and Emaciation. thrown far back, and limbs rigid; the legs are usually in a positionof extreme extension, and the arms either extended or flexed ;the fever is often very irregular in type ; convulsions are common,


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatrics, bookyear1