. The mental affections of children : idiocy, imbecility and insanity. ssy, thebridge of the nose was depressed, and there were slight fissuresat the angles of the mouth. Her eyesight seemed entirely gone, the left optic discbeing quite atrophied, and showing traces of extensivechoroiditis. In the right eye there was cataract. There wasa divergent squint and constant nystagmus. Her hearingwas very acute. Her teeth, though carious, showed nocharacteristic form. The child was able to run about, andwhen in her usual health kept herself clean. She grimaced a good deal and chattered constantly,usin
. The mental affections of children : idiocy, imbecility and insanity. ssy, thebridge of the nose was depressed, and there were slight fissuresat the angles of the mouth. Her eyesight seemed entirely gone, the left optic discbeing quite atrophied, and showing traces of extensivechoroiditis. In the right eye there was cataract. There wasa divergent squint and constant nystagmus. Her hearingwas very acute. Her teeth, though carious, showed nocharacteristic form. The child was able to run about, andwhen in her usual health kept herself clean. She grimaced a good deal and chattered constantly,using disconnected words and repeating them over and overagain. She was very fond of music, and tried to dance whenshe heard it. Progress.—During the six years that had elapsed since herphotograph was taken, she has very slowly got worse. In May 1894 she began to have slight attacks, whichconsisted in a sudden jerking forward of the whole body,followed by a brief period of pallor and unconsciousness. Inthe following month she had a regular epileptiform fit. PLATE N. W., Portrait token when she was betweenj ears old, \ eu and eight SYPHILITIC IDIOCY 209 Fits of one kind or another have continued ever since atmore or less short intervals, and she has got gradually January 1896 she was altogether confined to bed. In1897 she only measured 38 inches in length. Now (January 1898) she is extremely emaciated and liesin bed, constantly grinding her teeth and talking most unin-telligibly. She often has twelve of the slighter form of fit ina day. Her mother, however, does not think that her mentalcondition is any worse than it was several years ago. The principal lesions found after death were thickening ofthe cranial bones, periostitis, chronic meningitis, thickening andnarrowing of the arteries of the brain, beginning usually asendoartcritis, retarding the movement of the blood in the vesselsand causing atrophy of the nerve tissues. A scarcityof the nervecells has especial
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