File:Image from page 558 of "Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood" (1911).jpg

English: Identifier: moderndiagnosis00shef

Title: Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood Year: 1911 (1910s) Authors: Sheffield, Herman Bernard, 1871- [from old catalog] Subjects: Children Children Publisher: Philadelphia, F. A. Davis company

View Book Page: Book Viewer About This Book: Catalog Entry View All Images: All Images From Book

Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image: of true paralvsis and the presence of the characteristic, cephalitis. l J l jerky, half-running, spastic scissors-gait. TUMORS OF THE CORD AND MEMBRANES. Neoplasms of the cord are very rare and, hence, principally ofpathologic and diagnostic interest. They may be primary (some-times congenital) or secondary. Tubercle is the most frequentvariety observed; next in frequency are gliomas, syphilomas,lipomas and sarcomas. The symptomatology depends upon the seat of the growth,essentially resembling that of myelitis, except that it is of gradualdevelopment. In benign unilateral tumors the symptoms (motor PERIPHERAL FACIAL PARALYSIS. 541 and sensory paralysis) are limited to the side affected. Anti-syphilitic treatment deserves full trial, and, if this fails, operativeinterference should be resorted to. PERIPHERAL FACIAL PARALYSIS (Bells Palsy). Facial paralysis may be due to trauma, pressure and irrita-tion (swelling or disease) from contiguous structures, or ex-posure to cold or draughts.

Text Appearing After Image: Fig. 175.—Peripheral Facial Paralysis—Bells Palsy. Noteinability to close right eye and drooping of right lower lip.(Sheffield.) The symptomatology is essentially alike in all cases irrespec-tive of cause. The paralysis is usually unilateral and affects themuscles of the forehead, the orbicularis oculi and some of thelower facial muscles. As a result of it the paralyzed side of theface is lax and expressionless, the nasolabial fold more or lesseffaced, the eye remains widely open and the angle of the mouthdroops. The paralysis becomes especially pronounced, when themuscles are thrown into action, e.g., on laughing or crying. Insevere cases there is also paresis of the soft palate, and impair-ment of speech and mastication, and occasionally dullness oi tasteand diminished secretion of saliva. In otic facial palsy theremay be disturbance of hearing (hyperacuteness). In the so Inability to close affected 542 DISEASES OF THE NERVE SYSTEM. Rheumatic called rheumatic variety (due to exp

Note About Images

Please note that these images are extracted from scanned page images that may have been digitally enhanced for readability - coloration and appearance of these illustrations may not perfectly resemble the original work.