. The diseases of children : medical and surgical. ^ from herself, she would usethe arm to some extent, raising her hand to her mouth or head. In hysterical paraplegia there is no incontinence of urine or fsces ; thisis certainly the z-ule, but retention of urine will occur, and in some conditions,such as hysterical chorea, both urine and faeces will at times be passedinvoluntarily. We have seen on various occasions girls who were sufferingfrom hysteria, simulating hip disease or peritonitis, pass their water inbed, so that the bed and linen have been saturated with stinking urine, rather. Jig


. The diseases of children : medical and surgical. ^ from herself, she would usethe arm to some extent, raising her hand to her mouth or head. In hysterical paraplegia there is no incontinence of urine or fsces ; thisis certainly the z-ule, but retention of urine will occur, and in some conditions,such as hysterical chorea, both urine and faeces will at times be passedinvoluntarily. We have seen on various occasions girls who were sufferingfrom hysteria, simulating hip disease or peritonitis, pass their water inbed, so that the bed and linen have been saturated with stinking urine, rather. Jig. 115.—Hysterical Spastic Hemiplegia. 542 Diseases of the Nervous System than use a bed-pan, as they were afraid of being moved on account of thepain it caused. In such cases bedsores may form and the patient becomeemaciated. Convulsive Attacks.—These are of the usual hysterical type. Thereis a fit of screaming or crying or violent laughter, tonic contraction of themuscles, more especially of the back, so that opisthotonos is produced ; thearms and legs are dashed about, and the head perhaps made to strike thepillow or bed violently. The patient remains conscious during the attack,and she rarely injures herself, and the tongue is not bitten. The so-called hysteroid fits have already been referred to (p. 528). Mental Symptoms.—Hysteria is closely allied to some forms of insanity,and various forms of hysterical insanity occur in girls about puberty. Oneof the commonest of these is a refusal of food. The girls appetite becomespoor, she gradually grows thin, and this excites the


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