The medical diseases of children . s may produce the ordinary picture of crossedhemiplegia with involvement of the fifth, sixth, and seventh nuclear lesion of the sixth nerve is shown by loss of conjugatemovement of the eyes towards the side of the lesion. Hypertrophy of the Pons is a name sometimes given to a diffuseglioma of the pons. There is universal enlargement of the pons,and as its shape is maintained it looks like the pons of an adultattached to a childs brain (Fig. 89). Such a condition is notuncommon in children. The initial symptoms in these cases may beextremely indefinit
The medical diseases of children . s may produce the ordinary picture of crossedhemiplegia with involvement of the fifth, sixth, and seventh nuclear lesion of the sixth nerve is shown by loss of conjugatemovement of the eyes towards the side of the lesion. Hypertrophy of the Pons is a name sometimes given to a diffuseglioma of the pons. There is universal enlargement of the pons,and as its shape is maintained it looks like the pons of an adultattached to a childs brain (Fig. 89). Such a condition is notuncommon in children. The initial symptoms in these cases may beextremely indefinite, and are usually more cerebellar than pontinein type. Optic neuritis is not seen until late, and headache andvomiting are only occasional and slight. There may be a littleindefinite and transient ataxy from time to time. The child appearsdull and sullen, and may show various symptoms of a functionaltype. For several months nothing further may develop, for suchgrowths progress slowly, and are still slower in producing destruction. Fig. 89.— Hypertrophy op Pons ;Diffuse Pontine Glioma. 494 DISEASES OP THE NERVOUS SYSTEM of the parts in which the growth is present. Later, the child mayshow a rather characteristic myasthenic facies, with slight doubleptosis and little or no wrinkling of the forehead. Definite cranialnerve palsies, optic neuritis, and spasticity develop still disease advances, often running a slow course of from a yearto eighteen months, and death ultimately occurs. disease is occasionally seen in children, and runs as a rulea progressive course. It is sometimes associated with a congenitaldilatation of the central canal of the cord (hydromyelia), with which,however, the disease has no real connection. The pathology of thedisease in children is the same as that seen in adults. DISSEMINATED SCLEROSIS. It is doubtful whether this disease occurs at all in children. If so it is with extreme rarity. Clinically, a picture very similar to d
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatrics, bookyear1
