The Mother's Manual of Children's DiseasesWest, Charles
Science
The Mother's Manual of Children's Diseases
West, Charles
Pediatrics -- Handbooks, manuals, etc.
I have nothing to add to what I have already said with reference to the
treatment of the attack, when actual convulsions come on. Since,
however, in this affection convulsions may occur quite unexpectedly at
any moment, it is well always to have a basin of cold water and a bunch
of feathers handy, in order to be able at once to dash the water on the
child's face, and induce that deep inspiration which saves it from the
threatening danger. If this should not suffice, the finger must be put
into the mouth, and run over the back of the tongue in the way that I
have already explained when speaking of convulsions. Now and then it
happens, though but very rarely, that violent _general convulsions_ come
on in infancy quite independent of spasmodic croup, not preceded nor
attended by any sign of disease of the brain, and which end in the
course of some hours or of a few days in death, the child being partly
worn out by the violence of the muscular movements, partly by the
disturbance of breathing which each fit occasions. Happily, however, in
most of these instances the convulsions by degrees lessen both in
violence and frequency, and the child recovers.
=Epilepsy.=--There is one other point of view from which convulsions in
infancy and early childhood must be looked on with apprehension, and
that is from their being frequently followed in after years by
_epilepsy_. In nearly a fifth of all cases of epilepsy in childhood that
have come under my notice the first occurrence of fits dated back to
early infancy, and this, even though an interval of years had passed
between the last fit in infancy and the first in childhood. It seems,
indeed, as though there were in these cases a peculiar abiding
sensitiveness of the nervous system, which, dating back from very early
life, dependent often on hereditary predisposition, was kindled into
activity by any special cause, such as the cutting of the second set of
teeth, or the transition from boyhood or girlhood to manhood or
womanhood.
In the child, just as in the grown person, epilepsy manifests itself in
two different ways; either by momentary unconsciousness, or by violent
convulsions, in which latter there is little distinction from the
occasional fit which may be observed at any period of infancy.
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