Diseases of infancy and childhood (1914) (14791943143)

Identifier: diseasesofinfan00fisc (find matches)

Title: Diseases of infancy and childhood

Year: 1914 (1910s)

Authors: Fischer, Louis, 1864- (from old catalog)

Subjects: Children

Publisher: Philadelphia, F. A. Davis company (etc., etc.)

Contributing Library: The Library of Congress

Digitizing Sponsor: The Library of Congress

Text Appearing Before Image:

s, the face or jaw. Itmay also affect the whole body. In the beginning, the symptoms may lastless than one second and do not recur oftener than one hour or so. Laterthe spells lengthen to a few seconds, and recur at shorter intervals. Thecondition is sometimes accompanied by a peculiar cry similar to the hydro-cephalic. During the convulsive movement the child is apparently un-conscious with eyes set for a few seconds. Dia^osis.—This disease usually follows fever. At times it is a onedays fever followed by paralysis. There is a stationary stage, lasting one Journal of the American Medical Association, March 15, 1913. INFANTILE SPINAL PARALYSIS. 771 to six weeks. Then a period of improvement/ lasting about six to twelvemonthsy and, lastly, a stage of permanent disability/^ The initial fever is sometimes followed by pain in the limbs and thecondition mistaken for rheumatism. In no other disease is the response to the faradic current absent as early as in this condition. In diphtheritic

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Atio))hy and Impaired Growth ofthe Right Leg, and Drop-foot; FourYears After the Onset. Noteatrophy on affected si(U\ (Case ofDr. M. Alhm Starr.) Fig. 260.—Infantile Paralysis, withAtrophy of the Right Leg. The cur-vature of the spine is secondary to the shortening of the leg, (Case ofDr. M. Allan Starr.) palsy the previous history will assist in (.learino- up the doubtful diagnosis.Atrophy of the muscles occurs \cry early and is an important diagnosticgtiidc. Prog:nosis.—It is dilHcult to state what will be the outcome of a caseof this kind. 1 have seen some severe cases cniiii^ly rcioxcr. The severity ofthe beginning of an attack is no guide as to its outcome. Some mild cases 772 DISEASES OF THE NERVOUS SYSTEM. may leave permanent deformities; as a rule, however, some muscles remainpermanently paralyzed. The reaction of the muscles with the faradiccurrent should be the guide in estimating the outcome of any case. The following case will illustrate this condition as seen by me a

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1914

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