Pediatrics, Vol. 10 (Classic Reprint)
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| Stand: | 2015-08-04 03:50:33 |
Produktbeschreibung
Excerpt from Pediatrics, Vol. 10 In 1894, Carters, of New York, collected the cases that had been published up to that time, adding one of his own, with an opthalmoscopic drawing of the fundus-picture. In 1898 Sachs reviewed the subject, and tabulated 29 cases of this affection; his analysis was based upon 10 cases. I myself have had 5 cases under my notice, and my observations of the symptoms of this disease tally so nearly with those of Sachs, that I could modify his description in but a slight degree. At birth and for the first few weeks after birth the child appears entirely normal. Between the first and the ninth month, in general terms, the child ceases to take interest in its surroundings; its eyes may or may not be rolled about; it cannot hold up its head, and there are irregular, purposeless movements of the limbs, head and body. I have observed a great tendency to sleepiness; the parents have at times volunteered this information; at others I have observed it myself. The child either falls forward, or slips down on its back when the parent attempts to make it sit up straight in the lap. I have observed that it slides downward more frequently than it falls forward, and I have failed to observe any inclination to fall sideways. I have at times observed a vermicular movement of the fingers, which suggested athetosis. I wish to lay stress on the fact that the parents have noticed somnolence, and this seems to me more marked than the idiocy or physiologic sluggishness which suggests the latter condition. In one case I observed distinct hydrocephalus; there was a distinct water wave felt on filiping the head with the finger. The weakness of the extremities seems to increase slowly until practically diplegia exists. Sometimes this has a spastic character and sometimes not. Some have observed that the reflexes are increased, normal or diminished. The electric excitability of the nerves and muscles is normal, as a rule, though Koplik, has detailed a case in which the reaction to the faradic current was slightly diminished. By the end of the year the child becomes totally blind, the optic nerve dead white and the idiocy is pronounced. About the end of the second year, a slowly developing marasmus closes the scene. Sachs, Kingdonio, Koplik and Higierii have observed nystagmus, strabismus and hyperakusis. Sachs has observed diminution in the power of hearing in two cases. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
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