Recurrent headaches in children / by Francis Warner.

  • Warner, Francis, 1847-1926.
Date:
[1879?]
Catalogue details

Licence: Public Domain Mark

Credit: Recurrent headaches in children / by Francis Warner. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    expressive of force and energy, is often seen in men when speaking earnestly. Here the wrist is extended, the meta- carpo-pkalangeal joints and interdigital joints are flexed, the thumb is also moderately flexed. It is of course the 7th cranial nerve which connects the facial muscles with their nerve-centres. If the centres of the 7th nerve are disturbed in conditions of depression it is reason- able to inquire if the muscles supplied by other cranial motor nerves show any signs of relaxation or disturbed equilibrium. The 3rd, 4th, and 6th nerves supply the eye muscles. Evi- dence of disturbance of the motor division of the 5th nerve is seen in the great frequency of tooth-grinding. In a large proportion of my cases, the teeth were found flattened upon their edges, as the result of tooth-grinding. This condition may, I think, be taken as another physical sign of the nervous condition. We know that the sensory branches of the 5th nerve are largely distributed to the meninges. The tongue is supplied by the 9th nerve, and this when pro- truded was usually very unsteady, but not distinctly jerked in and out as in chorea. There appears to be some evidence of disturbance of the pneumogastric nerve in the varying condition of the appetite, which is often voracious, often very poor; vomiting may ac- company or succeed the headaches. Illusions of sight with headaches, such as sparks, colours, kemiopia, &c., are in my experience much more rare in children than in adults. I found that very commonly the urine was of high specific gravity, reaching up to 1030 or 1035, and loaded with urea, j Uro-h£ematin was also usually abundant; in both these facts these children correspond with those suffering from chorea. Fifty-eight cases were arranged in a tabular form, as follows, showing the relations to age and sex :— Ages. 3-1 4-5 5-6 6-7 7-8 ' 8-9 9-10 10-11 11-12 12-13 13-15 Males 25 1 2 2 8 2 1 2 2 4 1 0 Females 33 0 2 3 1 2 5 5 4 2 4 5 Totals 58 1 4 . 5 9 4 6 7 6 6 5 5