Some post-hemiplegic disturbances of motion in children / by Philip Coombs Knapp.

  • Knapp, Philip Coombs, 1858-1920.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Some post-hemiplegic disturbances of motion in children / by Philip Coombs Knapp. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    is quite indistinct. He breathes through the mouth, drools constantly, and has some slight difficulty in swallowing. He is subject to colds, as the clothing over his chest is constantly wet from his drooling. The appetite is dainty, and he has a delicate stomach. He still soils himself occasionally. The child is well developed, with no deformities, the two sides being symmetrical. The head is nineteen and three quarter inches in circumference. The left leg and arm are held rather rigidly, and there is inco-ordination when he tries to use the left hand, the movements being awkward and jerky, but there are no involuntary movements when the arm is at rest, with one exception. When he makes a movement elsewhere, there is often an associated movement of the left arm. The arm is rotated in- wards, extended at the elbow, flexed and pronated at the wrist, and flexed at all the phalangeal joints; Individual movements of the arms, hands, and legs seem fairly well done, except (dorsal) exten- sion of the right foot. Passive (dorsal) extension of the left foot reveals a slight constant rigidity. On attempting to walk, he walks with both feet in- verted, and the right leg at times gives out. The left forefinger is usually kept clenched in the palm. Sensation, reflexes, and electrical reactions showed nothing unusual. There was nothing abnormal discovered in the movements of the face and eyes. He was referred to Hr. F. FI. Hooper, who found a narrow, high-arched palate, and a mass of adenoid vegetations in the naso-pliarynx, which were re- moved, relieving the drooling considerably. In September he had a convulsion, which his mother attributed to indigestion. In October his general health was better, and he got about better. In October there w^as considerable inco-ordination of