NERVOUS CHILDREN. 317 



and thrusting the pelvis too forward, the spine 

 still remaining symmetrical, or being thrown into 

 lateral curves. It has seemed to me that the 

 awkward appearance was due to want of adapta- 

 bility of the proper compensations in the move- 

 ments of different muscles. 



10. The respiratory muscles. These may be 

 affected much or little; the alee nasi muscles may 

 be affected also. 



11. The vascular centres. The heart's action is 

 sometimes irregular. 



After looking at cases of chorea we naturally 

 consider other nervous cases characterized by nerve - 

 muscular movements, and if we study children we 

 find examples abundant. 



In 1879 I * put together my notes of fifty-eight 

 cases of children of nervous mobile tempera- 

 ment; and for this practical purpose a summary 

 has been made of the principal symptoms of cases 

 of headache in children under fifteen years of age. 

 Though recurrent headache was the most prominent 

 and constant symptom met with in this group of 

 eases, it was not always the one complained of by 

 the patient or mother. Classifying the symptoms, 

 we find the largest number referable to the mental 

 and cerebral condition of the child. We are told 

 that he is excitable, melancholy, passionate, or 

 fretful; that sleep is restless and disturbed by 

 dreams and night-talking, by attacks of terror and 

 screaming, or by somnambulism. Often there are 

 vague pains in the limbs, chest, or abdomen. The 

 * See " Brain." 



