The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
=Neuralgia and Headache.=--In the grown person neuralgia, as many of us
know to our cost, is by no means infrequent; in the child it is very
rare, and when a child complains of severe pain in the head, or of
severe pain to the knee or hip apart from rheumatism, it is almost
invariably the sign of disease of the brain in the one case, of the
hip-joint in the other. To this rule there are indeed exceptions, but it
will always be well to leave it to the doctor to determine--no easy
matter by the bye--whether any given case is one of the rare exceptions
or not.
There is, however, one form of real _neuralgic headache_ which is by no
means rare in children after the commencement of the second dentition,
and which sometimes goes on into early manhood or womanhood, when it
becomes what is commonly known as sick headache. It is essentially an
ailment of development, incidental to the time when the brain is first
called on for the performance of its higher functions.
It does not by any means always depend on over-study, though I do not
remember meeting with it in children who had not yet gone into the
school-room; and I have frequently found it dependent on too continuous
application, though the number of hours devoted to study in the course
of the day may not have been by any means excessive.
The child's brain soon tires, and the arrangement, so convenient to
parents of morning lessons and afternoon play, works far less well for
it than if the time were more equally divided between the two.
The attacks not infrequently come on on waking in the morning, and
rapidly become worse, the pain, which is almost always referred to the
forehead, being attended with much intolerance of light and sound, with
nausea, and often with actual vomiting. Like the vomiting of
sea-sickness, however, previous stomach disorder has no necessary share
in its production, and I may add, indeed, that it is often difficult to
assign any special exciting cause for the attack. The suffering is more
often relieved by warm or tepid than by cold applications, and not
infrequently pressure or a tight bandage greatly mitigates it. In no
case does the attack last more than twelve hours--usually not more than
half that time; it passes off with sleep, and leaves the patient weak
and with a degree of tenderness of the head to the touch.
Such attacks may occur every fortnight, ten days, or even oftener, but
their very frequent return, instead of increasing apprehension, should
diminish anxiety. A first attack, indeed, may seem as though it
threatened mischief, till it is seen how speedily and completely it
passes off, and when afterwards a second or a third attack comes on with
the same severity of onset, the same rapid worsening, and the same quick
passing away, you will feel convinced that the symptoms have no grave
meaning.
Public-domain text, read in full here on John Shaqi.
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