An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . rand attack, lasting about twenty minutes; it came on spontaneously. She uttered aloud wailing cry for a minute or two, then became motionless in tonic spasm, with theeyes rolled up and respiration suspended. Then there was bilateral squint and extremedilatation of the pupils. The period of tonic spasm was succeeded suddenly by one ofslight clonic


An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . rand attack, lasting about twenty minutes; it came on spontaneously. She uttered aloud wailing cry for a minute or two, then became motionless in tonic spasm, with theeyes rolled up and respiration suspended. Then there was bilateral squint and extremedilatation of the pupils. The period of tonic spasm was succeeded suddenly by one ofslight clonic movements, complicated with spells of crying, sobbing, and choking. Thepatient was evidently conscious during part of the attack. During subsequent attacksshe exhibited grand and passionate movements, and the fit was sometimes followed by alethargic state. She can be thrown into one of these seizures by causing her to gazefixedly at an object held before her, as, for instance, a lead-pencil. The patient was found to have hysterogenous zones over the ovaries and over theupper dorsal spine. Pressure on these produces an attack as follows: The patient be-comes rigid, with some flexion of the elbows and knees. The eyes become suflTused, the face. Contraction of the Visual Fields in Hysteria. Field of 0. S. (From authors case; drawn by Dr. Riesman.) ^ This case furnishes a commentary on the claims of some English writers that hysteria, asdescribed in France, does not exist in England. This patient is a typical English girl, born inBirmingham, and drops her As unmistakably. Yet she exhibits the grand attack as perfectlyas though she were in La Salpetriere. HYSTERIA. 739


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