Cyclopaedia Of The Diseases Of Children V 4 1890 PDF Download

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1890 edition. Excerpt: ...No. 7. There is a report of a case by Mr. Nettleship,1 in which the patient, a girl of fourteen, had partial numbness of the right forehead, cheek, and side of the nose, aud of the eyelid, conjunctiva, and cornea. She could feel, but less distinctly than on the other side. The numbness appeared greatest on the eyeball itself. There was complete paralysis of the external and superior recti, and paresis of the inferior and internal recti and levator palpebral: the superior oblique was probably paralyzed. In this patient the father was known to have had syphilis before the child's birth, and the evidence of syphilis in the child herself was satisfactory. Mr. J. B. Lawford reports two cases of paralysis of the ocular muscles in congenital syphilis in the London Ophthalmic Review for 1890, page 98. These cases had both reached adult life. In one case, at least, the paralysis was probably due to peripheral nerve-disease. In looking for recorded cases through a large amount of literature Mr. Lawford has found only three cases. The first is one recorded by Von Graefe: a child aged two years had paralysis of all the branches of the left third nerve; the right eye had also been lost from syphilitic iritis. At the post-mortem examination there wrere found gross changes in the intracranial portion of the third nerve, described as a gummatous interstitial neuritis and perineuritis. The second case was that of Mr. Nettleship, already mentioned; and the third is contained in Hutchinson's book on syphilis, and is that of a boy aged sixteen, who had partial bilateral ophthalmoplegia externa, aud, in addition, complete atrophy of the optic nerves. Ptosis and double vision were symptoms in the case of Remak just mentioned. Idiocy does not seem to be a...