. Diseases of children. Fig. !S4.—reeble-minded, spastic para-plegia; male, aged six years. Fig. -Idiocy, spastic diplegia; male,aged four years. There may be cranial nerve palsies, nystagmus, strabismus, atrophyof the optic nerve, and inequality of the pupils. The face may beinvolved, and have a mask-like appearance. Dysarthria and brady-lalia are common, and are usually accompanied by impairment ofintellect. Esophageal spasm is sometimes observed, and causesdifficulty in swallowing. Convulsions m the first few days after bhth are common; but 828 THE NERVOUS SYSTEM epilepsy, which develo
. Diseases of children. Fig. !S4.—reeble-minded, spastic para-plegia; male, aged six years. Fig. -Idiocy, spastic diplegia; male,aged four years. There may be cranial nerve palsies, nystagmus, strabismus, atrophyof the optic nerve, and inequality of the pupils. The face may beinvolved, and have a mask-like appearance. Dysarthria and brady-lalia are common, and are usually accompanied by impairment ofintellect. Esophageal spasm is sometimes observed, and causesdifficulty in swallowing. Convulsions m the first few days after bhth are common; but 828 THE NERVOUS SYSTEM epilepsy, which develops later, is not as frequent as in other types ofpalsy. The mental development of the child may be normal, althoughthere is usually a defect in mentality varying from feeble-mindednessto idiocy. Diagnosis.—The diagnosis of cerebral infantile palsies is piu-ely aclinical one, and can be made only by considering the history withspecial reference to the question whether or not the palsy is progres-sive, and there are a
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