File:Pediatrics - the hygienic and medical treatment of children (1917) (14759820166).jpg

Identifier: pediatricshygien03dunn (find matches)
Title: Pediatrics : the hygienic and medical treatment of children
Year: 1917 (1910s)
Authors: Dunn, Charles Hunter, 1875-1926 Rotch, Thomas Morgan, 1849-1914
Subjects: Pediatrics
Publisher: Troy, N. Y. : The Southworth Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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re present, and when no otherprobable cause can be shown. The symptoms can never give positive proof of the existence ofcerebral syphilis. The diagnosis depends upon other evidences ofsyphihs, obtained from the history or physical examination, andupon the results of the Wassermann reaction. PROGNOSIS AND TREATMENT.—The results of antisyphilitictreatment in these cases are sometimes striking. The treatmentshould be pushed rapidly to the limit of tolerance. VI. ORGANIC DISEASES OF UNKNOWN ORMISCELLANEOUS ETIOLOGY HYDROCEPHALUS By hydrocephalus is meant an accumulation of serous fluid inthe cranium. This may occur either in the subarachnoid space(external hydrocephalus) or in the ventricles (internal hydrocephalus). When the accumulation of fluid represents the only pathologicalcondition present, the term primary hydrocephalus is used, whilewhen it follows in the course of other diseases it is termed secondary.Hydrocephalus may also be acute or chronic, congenital or acquired. Fig. 281
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Acute Hydrocephalus ACUTE HYDROCEPHALUS. Etiology.—Acute hydrocephalusmay be either external or internal, and is usually a combination ofboth. It is generally sudden in its onset, and while in some casesit may be idiopathic (meningitis serosa), in most cases it is secondaryto a number of conditions, such as cardiac disease, pertussis, rachitis, Hydrocephalus 575 neoplasms, tumors in the posterior fossa, acute inflammatory pro-cesses in the brain and its meninges, and acute febrile diseases, suchas t3^phoid and pneumonia. Symptoms.—The amount of fluid in these acute cases is, as a rule,not large, 90 to 120 c.c. (3 or 4 ounces), and the symptoms are thosewhich arise in meningitis when there is increased intracranial pres-sure, such as headache, vomiting, unequal pupils with sluggish reac-tion, double optic neuritis, rarely convulsions, and cerebral paralysis.In mild cases recovery may take place in a few v/eeks, but in themore severe forms the increased intracranial pressure may pro

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