"William "White, aged 85 years, residing at Ilastings, Calcutta, is the third of a family of six healthy children. At the age " of three months he was seized with convulsions," the right side of the body only being agitated, lasting two day3 and three nights, at the end of which time chloroform wa3 administered. This was followed by a cessation of the spasms, and he slept for three hours. "When he awoke, his mother discovered that he had not the least motion or sensation in the right side. She says she could pinch any part of that side of the child without his appreciating it; but on merely touching the left he moved immediately. Liniment3 and frictions were used, and sensation and motion gradually returned. This improvement went on for about a week and then ceased, leaving him in the condition I am about to describe, and which has continued up to the present time. Occasional convulsions, the spasms always affecting the right side, occurred up to the age of fifteen or sixteen months. He is able to run about, but with a heaviness of the right side and a dragging movement of the inferior extremity. There-is a tendency to talipes varus, the big toe sticks up nearly vertically, and there is much difficulty in making it touch the ground; the foot too is shorter and thicker than the other. There is permanent flexion and pronation of the right hand, the tendons of the flexor sublimis and the flexor carpi ulnaris being tense and prominent. His mother states that from the age of three months the hand has been fixed and nearly motionless in that position. Development i3 somewhat less on the right side than on the left, but probably only due to less use. Sensation is also slightly deficient. About three months ago, during a fit of laughter, the right side of the mouth and eyelids became drawn upwards and outwards, and remained so for a few minutes. On the 1st of January, 1873, had convulsions, right side only moved for half an hour. On recovering, to the surprise of hi3 parents, they found the spasmodic contractions of more than eight years' duration completely relaxed, and the hand moving freely in all directions. I fear the improvement will not be permanent, as he is slowly reverting to his former condition. "What is the nature of this case ? How can such a sudden relaxation of old standing muscular contractions be accounted for ? "Why did not the spasms return as soon as the convulsions were over ? I cannot imagine any reasonable explanation. The only point that appears to me tolerably certain is that the seat of the disease 13 above the spinal cord, i.e., intercranial, as evidenced by injury to sensation as well as motion on the same side, and by the portia dura being affected also.

CASE OF INFANTILE CONVULSIONS. By Assistant Surgeon W. Harvey, F.R.C.S., Officiating Garrison Assistant Surgeon, Fort William. Tub following case is one with which I have never met a parallel either in books or in practice, and it may bo interesting to some

of the readers of the Indian Medical Gazette :?

Case of Infantile Convulsions.

Case of Infantile Convulsions. - PDF Download Free
2MB Sizes 0 Downloads 23 Views