Image from page 133 of “Diseases of the nervous system : for the general practitioner and student” (1913)

Image from page 133 of “Diseases of the nervous system : for the general practitioner and student” (1913)
Speech Pathology
Identifier: diseasesofnervou00gord
Title: Diseases of the nervous system : for the general practitioner and student
Year: 1913 (1910s)
Authors: Gordon, Alfred, 1869-1953
Subjects: Nervous System Diseases
Publisher: Philadelphia : Blakiston’s Son
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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sesthere is an intention tremor, such asis seen in disseminated sclerosis.Athetosis, chorea, tremor may vary:they may change in intensity at acertain time of the day or they maysubstitute each other. They totallydisappear during sleep. Among other complications of in-fantile spastic hemiplegia may bementioned Aphasia, but the latter isan exceptional occurrence. Morefrequently there is a delayed development of speech faculty, which beginsto develop only at the age of four or five or even later, or after the speechhas developed it remains deficient for a long time and even permanently.True aphasia is not present. The intellectual faculties are quite frequentlyaffected in hemiplegia, but more frequently when the frontal lobe iscongenitally diseased than the Rolandic area. In view of the tenderage ofj the child there is a retardation of mental development in almostevery case. Imbecility and idiocy are observed in some cases. Children born hemiplegic sometimes present defects in the sphere

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Fig. 67.—R. Infantile Hemiplegia. INFLAMMATION OF THE BRAIN 117 of the special senses, as congenital strabismus, hemianopsia, nystagmus,deafness. Epilepsy is quite a frequent complication. It may exist from earlyinfancy or make its appearance later, especially around puberty. Theconvulsions may be confined to the paralyzed side or be generalized. Inthe latter case there is usually loss of consciousness with biting of thetongue, frothing at the mouth and other symptoms characteristic ofessential epilepsy (see Epilepsy). In many cases the epilepsy has a ten-dency to decrease with age, but in others remains permanently. Petitmal attacks occur usually in cases in which the paralysis is slight. B. Spastic Diplegia. Littles Disease. In the chapter on Pathology one could see the various morbid con-genital conditions which are apt to create the paralytic states observedduring life. When the seat of the lesion, instead of being unilateral,is symmetrically distributed to the motor areas of bo

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