Vol. 60, 1909 - University of North Carolina at Chapel Hill

ABSTRACTS. 121
,
women are subject are two. Insufficiency chronic eczema of infants is a constitutional
of the heart is generally found in the earlier disease and must be differentiated from
part of the pregnancy, about the end of the various forms of dermatitis that likewise
fourth month, when there are dyspnea and affect infants. The etiology of such eczema
palpitation, sometimes ending fatally. To- depends upon two factors—congenital pi'eward
the end of pregnancy acute pulmonary
edema may supervene, and the case
disposition and feeding. Overfeeding and
chronic constipation are the usual concomimay
end fatally in a short time without de- tants of the seborrheic form of eczema,
livery having been effected. In cases of
cardiacs who have married, the pregnancy
Improvement and cure usually follow the
change from pure milk diet to mixed diet
should be carefull\' watched, the urine ex- at the end of the first year. The second
amined frequently, and the general nutri- variety of eczema occurs almost exclusively
tion watched. After the fourth month all in artificially-fed children. Such children
fatigue should he avoided and the patient are weak, pale and thin. The eruption is
should live a very quiet life. Labor, if not as strikingly evident as in the first form,
slow, should be terminated by version or and consists of scattered patches of dry,
forcejjs. Hereditary arthritism and aortic scaly infiltrated lesions that may be found
lesions should contraindicate marriage for
the sake of the offspring, who will probably
over the whole body. While local treat-
ment of these forms of disease must be used
inherit a tendency to these conditions. Car- in every case to make the children comfortdiacs
shouhl not marry other cardiacs or able, the cure depends not upon this treatrelatives,
ment, but upon changes in the diet of the
Tumors ol the Cerebellum In Cbildren. children.
—Ilepfner iWratschebraja C'.azeta) men- pal point
Reduction of milk is the princiof
managing these cases, and
tions the case of a girl six years of age, in carbohydrate food must be given to make
whose case the diagnosis of cerebellar tumor up the deficiency in the food-stuffs. After
was arrived at by exclusion during the pa- the fourth month of age this is very easy,
tient's lifetime, certain symptoms having as the child can be fed on various cereal
suggested an organic affection of the brain, i)reparations and also given fruit juice. In
aside from an accurate localization of the later months the albumin of eggs must be
growth. These symptoms consisted in persistent
headache, prolonged vomiting withavoided,
as it is as badly borne as the milk
preteids. Whey mixtures may be used in
out visible involvement of the gastrointes- cases where the child is too young to take
tinal canal, complete inability to stand, sit
or even hold tlie head up; at last, spastic
any other food but some form of milk. The
whey may be modified with sugar and cereal
paraplegia of the lower extremities. Fur- gruel, a diet with which Finkelstein had
thermore, choked disk was distinctly dem- great success in the treatment of eczemaonstrable.
In the differential diagnosis a tons children.
tumor of the brain cortex was excluded by on the Treatment of Severe Urethral
the absence of all p.sychic disturbances, strictures.—C oh n 'Berliner kliuische
unilateral paralysis of the extremities, or Wochenschrift) says that there are a numconvulsions.
An affection of the middle ]jer of strictures of the urethra in which
brain was contraindicated by the absence there is, suddenly, an apparent relapse after
of paralysis of the oculomotor nerves, ptosis a certain distention has already been ator
strabismus, as well as contralateral hemi- taiued by means of gradual dilatation. In
plegic paralysis of the extremities. The these cases, in addititm to the organic
tumor had accordingly to be located in the changes in the urethral membrane, there is
cerebellum, this assumption being justified a state of congestion. In accordance with
by the clinical symptoms presented by the the method of v. Frisch, the author restored
' patient. While headache, vomiting and the caliber of the urethra for the introduc-
' choked
disk are general symptoms which tion of a sound by means of the instillation
, are produced by intracranial neoplasms of of a few drops of a one-per-cent. adrenalin
different localizations, these symptoms are solution. Injections of adrenalin solutions
most distinctly marked in tumors of the were used with good results,
cerebellum. The growth was found to be Ten cubic centimeters of a 1:5000 adrena
very large sarcoma, which exclusively alin solution was injected into the urethra
occupied almost the entire cerebellum, with- a„d removed after about five minutes. Imout
extending to the other parts of the brain . mediately thereafter it was possible to intro-
case, therefore, furnishes an interest duce a bougie of suitable size. By means
The ;
[ing contribution to the study of malignant of repeated injections of this kind it was
1 tumors of non-tuberculous character in possible to introduce bougies of progressive-
\y larger sizes. In the case of very sensi-
Chronlc Eczema oi Infants.— Peer, in tive patients the addition of eucaine is
I The Munch, med. Woch., says that real recommended. Eucaine, and other anes-
; children.