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 . ntion. In all casesof what appears to be idiopathic epilepsy search should be made for the residuaof paralyses. There are undoubtedly cases of genuine epilepsy having itsorigin in similar pathological processes which beget the palsies of earlylife, yet in which no vestige of the organic lesion may be discovered at would naturally be expecte
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 . ntion. In all casesof what appears to be idiopathic epilepsy search should be made for the residuaof paralyses. There are undoubtedly cases of genuine epilepsy having itsorigin in similar pathological processes which beget the palsies of earlylife, yet in which no vestige of the organic lesion may be discovered at would naturally be expected that as most of the lesions causing cerebralparalyses in early life are cortical, the epilepsy would be Jacksonian rather 654 AMERICAN TEXT-BOOK OF DISEASES OF CHILDREN. than general, but the contrary is the case. The reason for this is that theoriginal focal lesion disappears, and a general atrophy and sclerosis take itsplace. Feeble-mindedness, imbeciliti/, and idioci/ in connection with these palsiesare more frequently observed even than epilepsy. The proportion of mentalenfeeblement is in a direct ratio to the extent of the pathological process, andhence in the diplegias and paraplegias a large degree of imbecility and idiocy is Fig. Paraplegia: Photographed in Epileptiform Convulsion. usually encountered, for here both hemispheres are involved. In hemiplegias,on the other hand, idiocy is relatively rare, though the lower degrees of feeble-mindedness and imbecility are to be noted in nearly one-half of all cases. Among the phi/sical defects, or stigmata degenerationis, are often foundvarious cranial deformities, such as asymmetry of face and skull, microcephalus,leptocephalus, macrocephalus, and cranium progan?eum. The Gothic palate,imperfectly developed or supernumerary teeth, hirsuteness, and deformed earsare other physical evidences of imbecility and idiocy at times encountered. Ihave, in a paper with Fisher, called attention to the flattening of the skulloften obs
Size: 2178px × 1148px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubject, booksubjectchildren
