File:Diseases of infancy and childhood (1914) (14791947763).jpg

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

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c d Fig. 266.—Tuberculous Spinal Meningitis. Longitudinal Section ofSpinal Cord and Posterior Roots, (a) Spinal cord; (&) pia mater; (c)subarachnoidal space; (fZ) arachnoid; (e) posterior roots, cellular infiltra-tion and containing isolated swollen axis cylinders; (f) vessel with cellularinfiltration and proliferated wall; (g) cellular exudate in subarachnoidalspace; (i) swollen axis cylinder. X45. (Ziegler.) pus; the amount present varies from one to four ounces in each ventricle,being alwa3^s greater in the subacute cases. The walls of the ventricles maybe softened. The distention of the ventricles leads to flattening of theconvolutions from pressure against the skull, to bulging of the fontanel,and sometimes to separation of the sutures, if they are not completely ossi-fied.^^ IM.ATK XXXVIL
Text Appearing After Image:
Disscniiiiafecl Puliuoiiary Tulxrculosis in a Two yiar-«iUl rliilil ha\ inu ruluiiularMciiinoilis. ((our((>sy of Dr. Win. 11. St.-wan.) TUBERCULAR MENINGITIS. 781 Tuberculous nodules varying in size from a small pea to a walnut arefrequently seen associated with meningitis in older children, but not sooften in infants. These nodules may be connected with the meninges, orthey may be situated within the brain substance, usually in the cerebellum.The larger ones are classed as brain tumors. Inflammatory products arerarely found in the spinal canal. Course.—The course of tubercular meningitis is from three to tendays, although the symptoms may last from four to eight weeks, or evenlonger. Child B. W., 5 years old. Father a physician and healthy. Mother healthy.Had just returned from the country in apparent good health. Was sent to schooland seemed bright mentally and physically. Was a well-nourished child. Hadhad no previous illness excepting a disordered stomach. The first symptom

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