A treatise on the diseases of infancy and childhood . ent, there are traces of albumen, chloride of sodium, phos-phate and carbonate of soda, and osmazome. I have had an opportunity to witness only one post-mortemexamination in a case of congenital hydrocephalus in which theliquid was exterior to the brain. This case was under observationin the childrens service of Charity Hospital, in 1866. Full notesand measurements of the head were taken, which unfortunatelywere mislaid or lost. The infant had congenital syphilis, and hada pallid, strumous appearance. The shape and relative size of thehead
A treatise on the diseases of infancy and childhood . ent, there are traces of albumen, chloride of sodium, phos-phate and carbonate of soda, and osmazome. I have had an opportunity to witness only one post-mortemexamination in a case of congenital hydrocephalus in which theliquid was exterior to the brain. This case was under observationin the childrens service of Charity Hospital, in 1866. Full notesand measurements of the head were taken, which unfortunatelywere mislaid or lost. The infant had congenital syphilis, and hada pallid, strumous appearance. The shape and relative size of thehead are seen in the accompanying figure, from a the whole head was enlarged, there was a relative excessof development in the part between and above the ears. Theaxis of the eyes was not at all changed, and the vision was appearance corresponded so closely with descriptions ofhypertrophy of the brain, that this was supposed to be the ana-tomical state. Antisyphilitic treatment was employed, and the 331 CONGENITAL HYDEOCEPHALUS,. syphilitic eruptions had nearly disappeared,when diarrhoea supervened, followed bydeath. At the autopsy, a quantity oftransparent or light straw-colored liquid,estimated at six or seven ounces, was foundexterior to the brain, in the great cavity ofthe arachnoid, lying mostly over the supe-rior surface of the organ. There was noexcess of liquid in the ventricles, and thebrain, though of good size, was not abnor-mally large, nor did it possess the firmnesswhich is present in true cases of congenital hydrocephalus may be embraced in twogroups, namely, that in which the liquid is in the interior of thebrain, and that in which it lies exterior to the organ. Liquidprimarily in the arachnoidean cavity permeates the meshes of thepia mater, and lies in part underneath it, or this delicate membranemay be ruptured. Four of the groups, therefore, described byBreschet, may properly be reduced to one, namely, those groups inwhich
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectpediatr, bookyear1872
