Identifier: treatiseonner00sach (find matches)
Title: A treatise on the nervous diseases of children, for physicians and students
Year: 1905 (1900s)
Authors: Sachs, Bernard, 1858-1944
Subjects: Nervous system Children
Publisher: New York, W. Wood and company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Fig. 113. — Variously DegeneratedCells of the Cortex in the vicinityof the line a b of the preceding fig-ure. Near a, small blood-vessels,walls thickened. Large pyramidalcells are misshapen, and exhibitgranular disintegration. Cells di-minished in number. (Drawn fromspecimen.) INFANTILE CEREBRAL PALSIES. 453 Whatever the initial lesion of an acute cerebral palsymay be, if the patient survive a number of years, secondarychanges may be set up in the brain which will successfullyconceal the initial lesion. Cysts, large areas of softening,atrophy, sclerosis (diffuse and lobar), are a few of thechanges frequently observed. There is no telling in advance of the post-mortem examination, with anydegree of certainty, which secondary lesion will be found in the brain of a
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Fig. 114.—An Old Hemorrhagic Cyst. The cyst walls have been cut to expose tu-mor underneath (compare with Fig. 150). Right hemiplegia at age of six and a halfyears ; death two years later. child that has been afflicted with an acute cerebral palsy for a number ofTears. Cysts are so frequent that I have in a number of instances been ableto predict the presence of this condition, particularly in those cases in whichthere was little idiocy associated with the palsy, and in which everythingseemed to point to an initial lesion of considerable intensity, but limited inextent. And in several other cases that came under my own notice for opera-tion the surgeon found a cyst in the motor area, which I had predicted tobe the probable condition. Various forms of sclerosis are among the most frequentsequelae of the initial lesions of infantile cerebral palsies. 454 THE NERVOUS DISEASES OF CHILDREN. This sclerosis evidently starts from a focal region and rap-idly speads throughout the brain. If w

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