Identifier: moderndiagnosis00shef (find matches)
Title: Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood
Year: 1911 (1910s)
Authors: Sheffield, Herman Bernard, 1871- (from old catalog)
Subjects: Children Children
Publisher: Philadelphia, F. A. Davis company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Fig. 172.—Paralytic E ■varus in Poliomyeliing. (Sheffield. I Years are distinguished by prompt and complete recession of the appar-ently genuine paralysis. Typical, fully developed spinal paralysis is strongly characteristic and presents no diagnostic difficulties. The initial febrile stage, the sudden appearance and spontaneous partial recession l :.:;i DISKASKS Ol Ill NERVE SYSTEM. Patho- t)u. paralysis, the almost constant integrity of the sphincters and gnomonic ° ■ * Bymptoms. tlic sensory sphere, the abolition of the reflexes and the electric( faradic) reaction and, finally, the appearance of muscular atro-
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Fig. 173.—Anterior Poliomyelitis, Involving Extremities, Face andAbdominal Muscles. (Sheffield.) phy furnish a clear clinical picture. However, in the absence ofan epidemic and where the case runs an atypical course, polio-myelitis, especially in its early stage, may he confounded with:Cerebral paralysis, polioencephalitis, myelitis, diphtheritic paral- progressive muscular atrophy. SPINAL PARALYSIS. 535 ysis, and other affections associated with muscular and neuralhyperesthesia and consecutive immobility of the affected limbs.The difference between cerebral and spinal paralysis hasalready been spoken of (see Cerebral Paralysis, page 512).Severe poliomyelitis and mild polioencephalitis have many symp-toms in common, and their differentiation is based principally Differentia-upon the facts that in polioencephalitis the tendon reflexes are ponoen°-mexaggerated and the muscles never exhibit the reaction of degen- myeinis!seration. Furthermore, spasticity and choreic and athetoid move-

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