A REMARKABLE CASE OF INFAN TILE PARALYSIS. By Dr. A.
R.
MAZUMDAR,
m.b.,
\/
Nator, Bengal
Aduri, Hindu female child, about 7 old, 18th
brought over June 1921.
to
for
me
or
8 years
hemiplegia
on
Previous history.?Had a slight fall at her 8th month: got high fever after that for 7 or 8 days. With fever came on paralysis which was afterwards localised to the left half of the body. Present condition.?This is best the measurements given below:?
Bony
conditions?
Right
Lower jaw From the middle line to the angle
shown in
side. Left side.
(1)
.
(2)
3"
2?"
7-r
7f"
11"
10"
Humerus
From the upper limit to inner the condyle below ?
(3)
.
?
Chest
In the half
nipple line,
each ..
Sept.,
SOME RARE CASES: GILBERT.
1921.]
(4) Palm Length
from the tip of to the middle finder of lowermost crease the wrist (5) Foot (6) From the crest of the outer ileum to the malleolus ?
?
..
?
?
Muscular condition? There is some wasting of the left side (1) Round the upper arm at its middle (2) Calf ?
?
..
(3) Thigh (4) Face from
pression
just
the ala of the the lobe of the
..
the deoutside
4 J" 6V
6"
23f"
22\"
6"
SV
7V nr
7'i"
ih"
nose to ear
.
.
3^"
3^"
General conditions.?Fairly bright. No sign of rickets or syphilis. Dentition normal. She has fully cut the central incisors. The lateral incisors and the 1st molars are partially out. Remarks.?It would appear that the growth the bones is more retarded than the muscles, and in fact the limping in walking is more due to bony shortening than to muscular paresis. of
in reply to a Dr. M.D., of Noronha, published by Bombay (Indian Medical Gazette, January, 1921). In spite of some apparent differences, to my mind, they are similar. In my case the history is definite and there is hardly any doubt that this is a case of extensive infantile paralysis. It must be at the same time admitted, when the acute attack subsides it is extremely rare to have so much damage left behind. We discuss the apparent differences of Dr. Noronha's case. (1) Crossed paralysis. In the acute stage, of course, both sides were affected and whenthis subsided I think it was merely an accident that in my case all that was left was unilateral and in his case crossed. (2) Mental torpor. (3) Solid oedema. (4) Sugar in the urine. " These appear to be side issues due to the deficiencies of the internal secretions and probably has got nothing to do with the paralytic conditions. I submit this for