Identifier: pediatrics9190unse (find matches)
Title: Pediatrics.
Year: 1900 (1900s)
Authors:
Subjects: Pediatrics Children Infants Pediatrics Disease Disease
Publisher: New York : Van Publishing
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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istory: M. E., 27 years of age, was delivered ofthis, her first born, at full term, January 1, 1900. There was nothingpeculiar about the sickness except that the flattening of the head, whichpresented, obstructed free delivery and necessitated the use of compress-ing forceps. Life had been felt on the morning of the 1st, but it was astill-birth. So far as was known the parental history was good. Therewas no record of accident or unusual incident of any kind during theperiod of pregnancy. PEDIATRICS. 423 Examination of the specimen externally shows no defect either mthe body proper or extremities, but the head is seen to be cyclopic, hydro-cephalic, and shapeless from imperfect development of the cranial bones.The orbital fossae are confluent, and contain two cornea? within two dis-tinct but rudimentary balls. The whole presenting surface of the eye-balls is covered with a reddened conjunctiva. There are no eyelids.Displaced upward above the orbital fossae are the two rudimentary nasal
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bones, and likewise above the fossae is a fleshy mass about three-fourthsof an inch long, presumably the nose, but resembling a penis. At theend of it is a small opening which expands near the middle and dividesby fleshy tissues into two blind sinuses. The upper cervical spine seemedat) first to be bifid, but this appearance was later found to be due toabsence of part of the occipital bone. The bones of the face are normalwith the exception of the nasal. 424 PEDIATRICS. Within the skull of this monster the cranial bones are all found to beimperfectly developed. The horizontal plate of the frontal is absent, orat most only arched. The basilar process of the occipital bone is presentand bears the foramen magnum, but beyond the ring of bone surround-ing the foramen magnum the occipital bone is absent. In its place sup-porting the cerebellum are strong bands of fascia in which are fouropenings, disposed symmetrically around the foramen magnum. Thebrain substance is small in quantity, soft

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