Identifier: medicaldiseaseso00will (find matches)
Title: Medical diseases of infancy and childhood
Year: 1900 (1900s)
Authors: Williams, Dawson, 1854- (from old catalog) Churchill, Frank Spooner, 1864- (from old catalog) ed
Subjects: Children
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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he limbs, andby massage. Tenotomy may be necessary to obtain the full advan-tage of this treatment. In some cases, the aspect of the child, whichsuggests complete imbecility, may be, to some extent, misleading, anda good deal of knowledge may be imparted by a painstaking in-structor. HEREDITARY ATAXY 48 Hereditary ataxy (Friedreichs Disease) is a form of ataxy whichcomes on in childhood or early life, and i< due to degeneration of theposterior colnmns of the spinal cord. It is a family disease, /. c, a disease which attacks commonly sev-eral members of the same generation, brothers and sisters of onefamily, althongh isolated cases may be met with. The first symptomscome on usually at the same age in each member of the family at-tacked. At or shortly before puberty is the most conunon period forthe onset, which appears sometimes to be determined by an attack ofmeasles or scarlet fever or some other acute infectious disease, butbeyond this nothing can be said as to etiology. Fig. 70.
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Bilateral athetosis (congenital). lUSSOLOXGO.) (After a drawing made by A. Dall Occa Rianca for In cases examined after death the cord has always l)een small andhas shown widespread sclerosis—in the ;X)sterior columns (columnsof Goll in their whole extent, and columns ofBurdach in their upperpart), in the direct cerebellar tract extending laterally into thecolumn of Gowers, in the lateral columns (crossed pyramidal tract),in the grey matter (columns of Clarke, and posterior horns). In somecases dilatation of the central canal has been ob.served. The most characteristic symptoms are those affecting the motorsystem. The patient stands with the feet far apart and has difficultyin maintaining his efiuilil)rium ; the IxKly sways, and the feet areshifted to maintain the upright attitude; the unsteadiness may or 488 HEMIPLEGIA. SPASTIC RIGIDITY. HEREDITARY ATAXY. may not be aggravated by closing the eyes. The gait is reeling, thesteps short and uncertain; on the whole it resembles more the

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