Pediatrics : the hygienic and medical treatment of children . Hydrocephalic brain. Warren Museum. Harvard University, Fig. 283 represents the hydrocephalic skull at three 3^ears in com-parison with a normal skull of the same age. The face in these cases of hydrocephalus remains about the samesize as it would be normally, but usually looks much smaller fromthe disproportionate size of the cranium, which rests upon it likea globe. Symptoms.—The symptoms of congenital internal hydrocephalusare essentially those caused by pressure. We naturally, therefore,find the fontanels bulging and fluctuating
Pediatrics : the hygienic and medical treatment of children . Hydrocephalic brain. Warren Museum. Harvard University, Fig. 283 represents the hydrocephalic skull at three 3^ears in com-parison with a normal skull of the same age. The face in these cases of hydrocephalus remains about the samesize as it would be normally, but usually looks much smaller fromthe disproportionate size of the cranium, which rests upon it likea globe. Symptoms.—The symptoms of congenital internal hydrocephalusare essentially those caused by pressure. We naturally, therefore,find the fontanels bulging and fluctuating, and the bones thin andforced out of position. The temporal and parietal bones diverge as^Key extend upward, while in the normal skull they ascend almost Hydrocephalus 577. 37 vol. 3 578 Diseases of the Nervous System perpendicularly. This is shown in Fig. 284. If the disease hasexisted for some time, the upper wall of the orbit becomes flattenedand the eyeballs protrude. The intracerebral pressure often pro-duces a strong collateral circulation in the scalp and in the forehead,where the veins stand out like tortuous blue cords. Functionaldisturbances are numerous, and vary in almost every case. As arule the children become idiotic, but at times, even in marked hydro-cephalus, we find the mental condition normal, even when paralysisis present. As the various centers become affected by pressure,symptoms arise corresponding to the parts of the brain which areinvolved. Among these symptoms are nystagmus and, less fre-quently, strabismus. The pupils at first are usually moderatelydilated. Later they become fixed, and sensibility to light is hearing lasts for a long time. The ability to walk is interferedwith. Partial or general convulsions, paralysi
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectpediatr, bookyear1917
