File:A treatise on the nervous diseases of children, for physicians and students (1905) (14784642915).jpg

Identifier: treatiseonner00sach (find matches)
Title: A treatise on the nervous diseases of children, for physicians and students
Year: 1905 (1900s)
Authors: Sachs, Bernard, 1858-1944
Subjects: Nervous system Children
Publisher: New York, W. Wood and company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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y to the paralysis, which is the most permanentfeature of the disease.The paralysis is typi-cal of all the palsieswhich are due to a le-sion in the second di-vision of the motortract.* This is equiv-alent to saying thatthe paralysis is of theflaccid order; that itis associated with at-rophy ; that the elec-trical reactions in theparalyzed parts are al-tered, and that the re-flexes in the parts af-fected are diminishedor lost. The very sud-denness of the onset isextremely character-istic of the disease.There are, as a rule,no prodromata, andeven in cases in whichsuch prodromal symp-toms have been re-ported, it is doubtfulwhether their occur-rence was not a merecoincidence. The fe-ver varies between1020 and 1040 F., rarely exceeding the latter for any consid-erable period of time. The fever generally lasts for twenty-four or forty-eight hours, though in some cases in which * This includes the ganglion cell in the anterior horns, the anterior roots, the pe-ripheral nerve, and the muscle.
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Fig. 58.—Case of Infantile Spinal Palsy; Paralysisand Atrophy of Left Leg chiefly. INFANTILE SPINAL PARALYSIS. 251 all the symptoms show marked severity the fever may lastfor an entire week. There is no doubt, however, that in afew cases of typical spinal infantile paralysis no fever what-ever occurs. Seguin was inclined to doubt this point, butthe general consensus of opinion is in favor of the occur-rence of such an apyretic con-dition. The vomiting which ac-companies the fever, and setsin at a very early period of thedisease, may resemble the cere-bral type, and is independent ofany gastric disturbance. Theconvulsions are quite commonduring the first day of the dis-ease, are occasionally repeatedduring the first three days, some-times during the first week.They are of the order of generalconvulsions, and in this respectcan be distinguished from theconvulsions which occur duringthe earlier stage of acute cere-bral diseases. In some cases ofpoliomyelitis anterior acuta theconvulsio

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