. The diseases of children : medical and surgical. wasting of theinternal capsule or crura. In reviewing the history of the case, in the hght of the morbid anatomy,there is much reason to beheve that a multiple hemorrhage took place when Cerebral Hceviorrhaoe 507 the boy was two years of age, and that one or more (a, fig. 106; of theInemorrhages gaxe rise to the paralysis by the destruction of some of thewhite fibres en route from the motor-surface centres to the internal seems to Ije little room for douljt that the initial convulsions were thecause and not the consequence of the
. The diseases of children : medical and surgical. wasting of theinternal capsule or crura. In reviewing the history of the case, in the hght of the morbid anatomy,there is much reason to beheve that a multiple hemorrhage took place when Cerebral Hceviorrhaoe 507 the boy was two years of age, and that one or more (a, fig. 106; of theInemorrhages gaxe rise to the paralysis by the destruction of some of thewhite fibres en route from the motor-surface centres to the internal seems to Ije little room for douljt that the initial convulsions were thecause and not the consequence of the multiple haemorrhages. It is hardlyconceivable that the multiple hitmorrhages should be caused by any throm-bosis, embolism, or aiteritis ; they must presumably have been due to asudden engorgement of the veins due to asphyxia, such as takes place in afit in consecjuence of spasm of the respiratory muscles. As an example of a hemiplegia following convulsions associated withmeasles the following case occurring in a healthy boy of twenty months, a. Fig. 107.—Horizontal Section through Brain at a lower level than fig. io6, showing OpticThalamus and Caudate Nucleus (x i). a, b, c, old blood C5sts. patient of Mr. Wilson of Cheadle, which came under our observation, maybe taken as an example. Mr. Wilsons notes are as follow : Measles ; Pneumonia ; Convulsions ; Hemiplegia.—Boy, twenty months. The measlesrash was first noticed on May 10; convulsions commenced at noon on the nth : theseconsisted of clonic spasms of the right arm and leg and right side of the face; the eyeswere turned to the right side and fixed ; the pupils were dilated, the temperature rose to105°, the pulse was too fast to be counted ; the convulsions continued during the morning ;at I the temperature was io7°F., when the patient was put into a cold bath ; it wasagain 107° at 4 , when he was bathed again and five grains of quinine given by therectum ; at this time an examination of the lungs showed p
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