Tuberculosis in infancy and childhood : its pathology, prevention, and treatment . come absorbed. Paralysis may affect both lower extremities, and may come onearly in the disease. It varies from mere muscular weakness tocomplete loss of function. The first symptoms are usually those offatigue with a dragging of limbs. The reflexes are exaggerated ; 12 178 TUBERCULOSIS IN INFANCY AND CHILDHOOD unless the disease be in the lumbar region, the sensation is usually notimpaired. Rigidity only sets in with secondary degeneration of thecord. Of 400 cases, 19 were complicated by paralysis, all of which
Tuberculosis in infancy and childhood : its pathology, prevention, and treatment . come absorbed. Paralysis may affect both lower extremities, and may come onearly in the disease. It varies from mere muscular weakness tocomplete loss of function. The first symptoms are usually those offatigue with a dragging of limbs. The reflexes are exaggerated ; 12 178 TUBERCULOSIS IN INFANCY AND CHILDHOOD unless the disease be in the lumbar region, the sensation is usually notimpaired. Rigidity only sets in with secondary degeneration of thecord. Of 400 cases, 19 were complicated by paralysis, all of whichrecovered. The paralysis is generally due to a thickening of themembranes of the cord, to an invasion of tuberculous debris, and veryrarely indeed to direct bony pressure. It may come on before thebony deformity or with the bony deformity, or late in the disease. Itmay bear no relation to the acuteness of the angle ; it may disappearwhile the bony deformity goes on increasing, and it may exist withoutany kyphosis. The special symptoms due to local conditions may be divided into. FIG. 2. ATTITUDE IN TUBERCULOUSDISEASE OF UPPERCERVICAL REGION.
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