Care and feeding of infants and children; a text-book for trained nurses . ports a case, which diedat four months, from which five pints of fluid were removedfrom the brain. It is surprising how long many of these cases live and con-tinue to be fairly normal in many of their functions. Some ofthem are extremely bright. One child, now three years a head circumference of 28 inches, is unusually intelligentfor her years. ATany of them are backward mentally, and someare idiotic. 220 CARK Ol INlANTS AND ClllLUKllN The symptoms vary greatly, depending upon how early thecondition began and t
Care and feeding of infants and children; a text-book for trained nurses . ports a case, which diedat four months, from which five pints of fluid were removedfrom the brain. It is surprising how long many of these cases live and con-tinue to be fairly normal in many of their functions. Some ofthem are extremely bright. One child, now three years a head circumference of 28 inches, is unusually intelligentfor her years. ATany of them are backward mentally, and someare idiotic. 220 CARK Ol INlANTS AND ClllLUKllN The symptoms vary greatly, depending upon how early thecondition began and the rapidity with which the fluid ac-/cumulates. The great majority of these cases die before theyreach the end of the first year. It is comparatively rare that acase of congenital hydrocephalus reaches the seventh year. Afew reach adolescence, the process having after a time ceased todevelop further. Some cases go through life with a markedlyenlarged head, and usually with a mental condition somewhatimpaired. —If there is a possibility of syphilis being the. Fig. 104.—Chronic internal hydrocephalus in child twelve months of age. cause, active antisyphilitic treatment should be begun the ventricles into the subarachnoid space has beentried with varying degrees of success, but so far the mortalityhas been large and the results in the cases which survived theoperation not brilliant. Mongolism—A-Iongolian Idiots This represents a class of idiots which have the peculiarfaces of the Mongolian (Fig. 105). The condition is often mis-taken for cretinism, although there are few symptoms which aresufficiently similar to warrant confusion. Like other forms of DISEASES OF THE BRAIN 221
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