MULTIPLE ABSCESSES OF THE BRAIN IN INFANCY
1916; American Medical Association; Volume: XVII; Issue: 5 Linguagem: Inglês
10.1001/archinte.1916.00080110002001
ISSN1538-3679
Autores Tópico(s)Cerebrospinal fluid and hydrocephalus
ResumoDuring the past year the following case, that proved to be multiple abscesses of the brain, and that, clinically, was practically undifferen- tiable from chronic internal hypdrocephalus, came under observation.Certain unusual features make it worthy of reporting.The clinical history of the case was as follows :REPORT OF CASE History.\p=m-\T.D., a white male infant, aged 23 months, was brought to the Harriet Lane Home in the service of Dr. John Howland, Oct. 27, 1914, with the complaint "Large Head."The change had been first noticed when the child was 18 months old.Family History.\p=m-\Fatherandmother living and well at 46 and 23 years.respectively; two other children, aged 5 and 3, living and well; no history of miscarriages, or of tuberculosis.Previous History.\p=m-\Fullterm,noninstrumental birth.Pregnancy, the third; labor rather hard (pains being present for two days before the child was born).Infant apparently normal and healthy.Weight about 9 pounds.The child was breast fed for two months, and then given diluted cow's milk with sugar.He always took his food well.Other articles were added to his diet at 15 months.He cut his teeth at 5 months, sat up at 6 months, and walked and said a few words at 15 months.He had a severe attack of pertussis at 7 months, apparently without after effects.There had never been any evidence of middle ear affection.He stopped walking and talking at 16 months, and two months later it was noticed that his head was enlarged.During the six weeks preceding admission, the head was said to have increased a good deal in size.The child had never had convulsions.There was no history of injury or trauma.Examination.-Thechild was admitted to the hospital October 27 as a well- nourished, well-developed boy, 74 cm. in length, inattentive and with an expressionless face.He closed his eyes or turned away his head if light was Hashed in his face and did not grasp objects.His head was large, the circum¬ ference 52 cm.It was much wider through the parietal diameter than through the frontal diameter, so that viewed from above, it was rather triangular in shape, with the apex at the forehead.The forehead bulged, giving the impression that the eyes were sunken.The anterior fontanel measured 3x3 cm., and was situated further back than normal.It was tense, but not
Referência(s)