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39. Camper, Pierre; Description anatomique d'un elephant male. Paris, 1802. 



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 nal of Anatomy and Physiology, Oct. 1878. 



A TYPICAL CASE OF TUBERCULAR MENINGITIS. 



BY PROF. I. N. DANFORTH, M. D. 



{Received December 14th, iS'jZ.) 



Although tubercular meningitis is by no means an uncom- 

 mon disease in this country, it is, nevertheless, rarely the case 

 that the Pathologist has an opportunity to study its peculiar 

 lesions, because it is next to impossible to obtain permission to 

 make post-mortem examinations upon the bodies of children. 

 For this reason, it seems to me all the more important, that 

 every opportunity for increasing our knowledge of the patho- 

 logical anatomy and histology of this terrible malady, should 

 be carefully improved; and special pains should be taken to 

 study thoroughly and record accurately the pathological 

 changes in every uncomplicated or typical case. With the hope 

 of contributing somewhat to our knowledge of tubercular men- 

 ingitis, I present the following case for publication: — 



Lilian N. first came under my care April 4, 1878. She was 

 two years and nine months old, and was, up to a short time 

 previously, a bright, active child, well developed, and possess- 

 ing a good degree of health and strength. She had blue eyes, 

 light complexion, and fair, transparent skin. From her parents, 

 I obtained the following history of her case: — About the first 

 of January preceding, Lilian fell down stairs, and received a 

 slight contusion over the right parietal bone. It was regarded 

 as a trifling affair, however, and as no immediate consequences 

 followed, it was soon forgotten. But not long afterwards, 

 members of the family began to observe that the child mani- 

 fested unusual irritability and fretfulness, and this was all the 

 more noticeable, because she had always been remarkably 

 cheerful and happy. Her wonted cheerfulness and vivacity 

 were replaced by a notable degree of depression and irritability. 

 She would cry long and vigorously, upon the smallest and most 

 absurd provocations; and she acquired an unnatural and un- 



