Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . irst few weeks or months, it usually persists for life. The per-manently paralyzed structures soon begin to waste and undergofatty degeneration. The muscles are flabby and thin and thearticular bands so lax that the limb appears elongated and isprone to slip out of joint. Frequently there is also atrophy ofthe bones. As an immediate result of the atrophy of the diseased partsand the unopposed action (contraction) of the non-paralyzedantagonistic muscles, the affect
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . irst few weeks or months, it usually persists for life. The per-manently paralyzed structures soon begin to waste and undergofatty degeneration. The muscles are flabby and thin and thearticular bands so lax that the limb appears elongated and isprone to slip out of joint. Frequently there is also atrophy ofthe bones. As an immediate result of the atrophy of the diseased partsand the unopposed action (contraction) of the non-paralyzedantagonistic muscles, the affected extremities become contracted Conl rai tun ? .::?_ DISEASES OF THE NERVE SYSTEM. and deformed—ordinarily for life, unless prevented and remediedby orthopedic and operative procedures. The deformities in thelegs usually occur in the following order of frequency: Talipesequinus, equinovarus, equinovalgus, calcaneus or calcaneovalgus,and talipes varus. Manifold deformities arise also in the arms,neck and vertebral column from paralysis of the respectivemuscles I see Fig. 114). This is the typical course of the Fig. 171.—Anterior Poliomyelitis, Affecting Right Leg. Noteatrophy and flaccidity of knee-joint. (Sheffield.) Atypicalcases. 1 )eviations from the typical course of the disease are not rare,and every epidemic is prone to present certain , the onset may be either very mild or exceptionally the onset is mild, the child may be found hopelesslymaimed abruptly in the midst of perfect health. On the otherhand, not rarely the initial stage is ushered in with vomiting, con-vulsions, stupor and similar meningeal symptoms, and continuefor a week or so before revealing the exact nature of the affec-tion. Furthermore the paralysis may develop in stages—at irreg-ular intervals. In some cases paresthesia prevails; in othersanesthesia—showing implication of the gray substance of theposterior horns. Occasionally the muscles of deglutition
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
