. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fig. 345.— Hair-field overlying a spina bifida occulta ; there is also a long tuft in the cervical region. (FiscJier.) SPINA BIFIDA 647 several children seen liydroceplialus supervene when the sacin the loin has been made to shrink by artificial means. We have now to consider the various modes by whichspina bifida destroys life. Of all the varieties of this malfor-mation, myelocele is the most fatal. A very large proportionof fcetuses in which this condition is present are stillborn;the few that survive the
. Tumours, innocent and malignant; their clinical characters and appropriate treatment. Fig. 345.— Hair-field overlying a spina bifida occulta ; there is also a long tuft in the cervical region. (FiscJier.) SPINA BIFIDA 647 several children seen liydroceplialus supervene when the sacin the loin has been made to shrink by artificial means. We have now to consider the various modes by whichspina bifida destroys life. Of all the varieties of this malfor-mation, myelocele is the most fatal. A very large proportionof fcetuses in which this condition is present are stillborn;the few that survive their birth rarely live longer thanthree da3^s, the continual leakage of cerebro-spinal fluidbeing sufficient to explain the invariable brevity of Fig. 346.—^gipan sporting with a faun. (Bacchus and Sileuus.) When a distinct sac is present, life may be prolongedmany weeks, even when the sac-wall is thin; Avhen it is thicklife may be prolonged several years; and when it is com-pletely skin-covered, some of these children survive and growup to be healthy men and women. The prospects of eachparticular case are largely influenced by the thickness ofthe sac-wall and the absence of complications, especiallyhydrocephalus. In many cases, especially when the walls of the cyst arethin, the tissue is apt to slough—an event that allows the 648 PSEUDO-CYSTS sudden escape of the cerebro-spinal fluid and may terminatethe hfe of the child in a few hours. Children often survivethis accident, to succumb seven or ten days later to septicmeningitis. Exceptional!}, I have observed children recoverfrom rupture of the sac and, escaping meningitis, slowly diefrom hydrocephalus. Occasionally the sac in the loin andthe hydrocephalus will increase sim
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectneoplasms, bookyear19
