. A treatise on the nervous diseases of children : for physicians and students. sis. The subject was revived by Jof-froy, in 1879, and Leyden, in 1880, and since that time a legion of articleshave appeared by writers of almost every nationality. Comparatively few writers, however, have had much to say regardingmultiple neuritis occurring in children. Diphtheritic paralysis, to be sure, wasdiscussed clinically long before it was known that it was due to peripheralneuritis. Multiple neuritis is not so frequent in children as in adults, for thesimple reason that the causes leading to it are not a
. A treatise on the nervous diseases of children : for physicians and students. sis. The subject was revived by Jof-froy, in 1879, and Leyden, in 1880, and since that time a legion of articleshave appeared by writers of almost every nationality. Comparatively few writers, however, have had much to say regardingmultiple neuritis occurring in children. Diphtheritic paralysis, to be sure, wasdiscussed clinically long before it was known that it was due to peripheralneuritis. Multiple neuritis is not so frequent in children as in adults, for thesimple reason that the causes leading to it are not as powerful in early life aslater on; and yet cases are common enough to necessitate a discussion ofthem in this book. Symptoms.—Whatever the cause of the multiple neuritismay be the symptoms are, with few modifications, practi- MULTIPLE NEURITIS. 241 cally the same in all cases. Though the development of thevarious symptoms is subject to great variations, the symp-toms are such as we might well expect on physiologicalgrounds from disease of the peripheral mixed nerves. The. Fig. 62.—Young Boy with Multiple Neuritis, showing Double Wrist DropShght Foot Drop. and most characteristic feature of multiple neuritis is the asso-ciation of motor paralysis with sensory paralysis, the dis-tribution of each harmonizing with the other and showingvery definite anatomical limits. The paralysis is of theflaccid order, leads at an early date to atrophy of the af- 16 242 THE NERVOUS DISEASES OE CHILDREN. fected muscles, and the electrical conditions are altered sothat we may find almost every possible form of the reac-tion of degeneration from a mere loss of faradic irritabil-ity to an absolute loss of galvanic response on the part ofthe nerves and muscles. The distribution of the»paralysisis, as a rule, entirely symmetrical, and may affect eitherthe upper or lower, or all four extremities; it may involveevery part of all the extremities, and is the one affectionwhich, perhaps more frequen
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