. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. ter a few days subsides to the normal and an examination showsthe patient to be soporose, though roused on interference. There isirritability. Nuclear palsies, such as facial palsy or strabismus, andabdominal breathing, may be marked on accoimt of the paralysis of themuscles of respiration (Fig. 233). Rales and rhonchi appear in the is mild hydrocephalus in many cases. The patient may recoverin this stage or the disease progress to more complete bulbar paralysisand death. There
. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. ter a few days subsides to the normal and an examination showsthe patient to be soporose, though roused on interference. There isirritability. Nuclear palsies, such as facial palsy or strabismus, andabdominal breathing, may be marked on accoimt of the paralysis of themuscles of respiration (Fig. 233). Rales and rhonchi appear in the is mild hydrocephalus in many cases. The patient may recoverin this stage or the disease progress to more complete bulbar paralysisand death. There may in this form be no paralysis of the extremities,though a weakness is present. The knee-jerks are increaserl. Theremay be slight monoplegia of either upper extremity. The Type SinDiIatitu/ Landri/.s Parah/.sis.—This type is an ascend-ing or descending progressive paralysis, such as has been known underthe title of Landrys paralysis. This type of poliomyelitis numbersamong its cases many which are fatal. Wickman fouiad .^(i among159 fatal cases. In children it is recognized with great difficulty. Fig. — Poliomyelitis in-\-olviiig only the facial and bulbar type. 854 DISEASES OF THE NERVOUS SYSTEM because in the initial period, the patients being confined to theirbed, the beginning paralysis is not noticed. Thus many cases aregenerally not diagnosed. In adults a complete history is obtainableand more cases of this type are therefore observed. The Polyneuritic Type.^The polyneuritic type has caused muchdiscussion as to whether there can be true neuritis in such truth is that in some cases it is almost impossible at first to dirter-entiate and to decide as to the presence of a neuritis. The painsare prominent SATnptoms combined with extreme sensitiveness ofnerve anrl muscle. In neuritis there is motor paralysis with completereco\ery of muscle; the opposite is true of poliomyelitis.
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Keywords: ., bookcentury1900, bookdecade1910, bookpublish, booksubjectchildren
