. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . .Insert Flowers. REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. almost hopeless. The tendency of this combination isprogrcssivelv downward. Tmiiiiiiitii- Idiocy.—In the history given by mothersand other members of the family, trauma is constantlya<lvanccd as a cause of mental defect. Clinically, how-. FiG. 3,^48.—Iiliiiry with Spastic Diplegia; showing Adduction of Mus-cles of the Thiiih, Talipes, General Muscular Iiicoordiuation, Chorei-form Movements, etc. Patie


. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . .Insert Flowers. REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. almost hopeless. The tendency of this combination isprogrcssivelv downward. Tmiiiiiiitii- Idiocy.—In the history given by mothersand other members of the family, trauma is constantlya<lvanccd as a cause of mental defect. Clinically, how-. FiG. 3,^48.—Iiliiiry with Spastic Diplegia; showing Adduction of Mus-cles of the Thiiih, Talipes, General Muscular Iiicoordiuation, Chorei-form Movements, etc. Patient aged twenty-si.\ years. (Fernald.) ever, traumiitic idiocy has no distinguishing features, andin view of the fact that few children grow up withoutfalls and bruises, one has to be extremely conservativeabout accepting injury as a cause. tknuorial ItHnrii.—Thisclass includes the mental defectsobserved in children who have lost one or more of thespecial senses, especially sight or hearing. There arecertain remarkable instances in which, after loss of sightand hearing with its attendant mutism, the patients havedevelii|ied into persons of excellent intelligence. Theynaturally never attained intellectual conceptions whichthese senses alone can fiuiiish. But otherwise they liavebeen intellectually normal. Such residts are, however,unusual. As a general rule, children who art! shut offfrom these avenues of education do no


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