File:Insanity and allied neuroses - practical and clinical (1884) (14763570834).jpg

Identifier: insanityalliedne00sava (find matches)
Title: Insanity and allied neuroses : practical and clinical
Year: 1884 (1880s)
Authors: Savage, George H. (George Henry), 1842-1921
Subjects: Mental Disorders
Publisher: Philadelphia : Henry C. Lea's Son & Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Hydrocephalic Idiot. flattening posteriorally, and the palate is said not tobe vaulted, but the teeth are frequently good. It issaid that in hydroceplialns the fontanelle is raised; inrickets it is depressed, I shall later refer to cases in which the brain ishypertrophied, and in which the skull also becomesmuch enlarged. A third form of cranial enlargementwhich may exist with idiocy, is that connected with Chap. XXIT.) Hydrocephalic Idiocy. 451 congenital syphilis, and in this case the presence ofrashes and the peculiarity of the teeth may serve todifferentiate, when taken with the fact that thesyphilitic skull is irregularly bossed, not uniformlyenlarged. The size of the skull does not imply a rela-tion between its malformation and the amount of
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**^C^^^ —^ A Paralytic Idiot. intellectual deficiency, some hydrocephalics with hugeheads growing to maturity, and being fairly intellec-tual ; and even among idiots the larger-headed hydro-cephalic idiot is not necessarily more idiotic than oneless affected. Hydrocephalus may produce idiocyfirst, and then a rapidly fatal termination ; but insome cases there may be an arrest of the hydroce-phalus, wdth considerable power of intellectual culture 452 Insanity and Allied Neuroses. (Chap. xxii. possible. Probably the chief danger in these cases isassociated with their tubercular diathesis. Dr. Ire-land says they are, as a rule, soft, gentle, and trustingin disposition, although awkward in movement. Withthe hydrocephalus there may be fits, or local paralyses,and then the prognosis becomes worse. These casesrequire the treatment which would be given to un-healthy children with a tubercular history. Cod-liver oil had better be given in one of the many partlydigested forms, stimulants with

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