Southern Medical and Surgical Journal - Georgia Regents University

1869.] Lecture upon Cerebral Fever. 745no mention of it in such cases, and cites instances of dislocation inwhich it occurred. He forgets that I was not treating of dislocations,but o{ fractures. He says, however, that he reportedsomewhere a case of sudden paralysis of certain muscles, followinga fall upon the shoulder, in which there was no dislocation,I have no recollection of seeing his report, but even this wasunlike my cases, inasmuch as he says nothing about the existenceof any fracture. I therefore reiterate the assertion, thatthis peculiarity has hitherto passed unnoticed, at least by systematicwriters, in Fractures of the Keck of the Scapula. Asthis sudden paralysis occurred in the three cases I have seen,should it not be taken into consider ition in establishing thediagnosis of injuries of the shoulder? It has been long knownthat it may accompany dislocation ;we now know that it mayalso be induced by fracture of the neck of the scapula ; and itwill be interesting to determine with precision under what othercircumstances it may be looked for.Clinical Lecture upon Cerebral Fever* By Trousseau. Translatedfrom La Clinique Europeenneyby J. C. Reeve, M. D. rDayton, Ohio.I am about to speak, to-day, of an infant which appeared doomedto a certain and almost speedy death. The disease from whichit suffered, merits, in many respects, your most careful attention.It was a case of cerebral fever, which followed a regular coursein its premonitory as well as its complete stage.The patient was a little girl aged eight months, nursed by itsmother. It was taken ill about six weeks ago, its constitutionbeing good. At that time it presented a peculiar sad or heavyappearance, which was not usual, and which could not be attributedto dentition. The first group of teeth had been cut at theage of four months, and the superior incisors, the next to be expected,had not yet made their appearance, and would not probablydo so within fifteen or twenty days, supposing the childlivedthat length of time. Dentition, then, could not occasion theillness which caused this heaviness, a symptom the importanceof which I can not too strongly impress upon you, and which,succeeding all at once to the liveliness and playfulness of theSynonyms: Tubercular meningitis—Wood, Meigs; Acute hydrocephalus—"Watson, West; La meningite granuhusc—Bouchut; Lie hitzige Wassergchirnsucht—Meissner.