I have purposely quoted the opinions of authorita-
tive clinicians and hold that in spite of the sharp
division of opinion, convulsions do occur during
dentition and at rare times become so formidable
as to seriously threaten life. The mechanism
that initiates the eclamptic seizure Alesse Mg is Alesse Ocp not discussed
ROSENHECK: REFLEX CONVULSIONS DURING DENTITION.
here. The pathways by which peripheral sensory
stimuH are transformed Alesse Cost into excessive motor mani-
festations are quite devious and intricate. Order Alesse Online It is
rather the persistence of the convulsive attacks that
is emphasized. An analysis of the causes under-
lying the continuance of Alesse 21 the morbid process will
elucidate the problem and justify the use of the
therapeutic measures proposed.
It is assumed that at the height of the convulsive
attack there results an intense congestion of the
cerebral sinuses and veins. This state of affairs
must affect the free flow of cerebrospinal fluid in
the ventricles, communicating channels, and suba-
rachnoid spaces of brain and cord. If the attack is
not repeated, the venous congestion subsides and
the flow of cerebrospinal fluid is reestablished.
However, if the convtilsions are repeated, the initial
venous congestion and interference with the free
passage of the cerebrospinal fluid is increased im-
measurably. A vicious circle is thus created, each Purchase Alesse
succeeding eclamptic seizure adding greater diffi-
culties to the overburdened ventricles and blood
spaces. Finally an acute hydrocephalus develops.
This increased intracephalic pressure is without
doubt responsible for the continuation of the con-
vulsions. Upon this point the observations of M.
Baumes made 135 years ago are worthy of note.
He states : "Acute hydrocephalus, whether we con-
sider it as a result of cerebral plethora, or whether
it be derived from a morbid affection of the serous
membrane of the brain, or whether it be caused by
the imperfect absorption of the humour which
lubricates the ventricles of the organ, has a close
connection with difficult dentition." It is this verv
"imperfect absorption of the humour which lubri-
cates the ventricles" that perpetuates the convul-
sions and menaces the infant's existence. Naturally
the use of lumbar puncture to relieve this pressure
at once Alesse Price suggests itself and has been used in three
cases under my observation with striking effect.
The convulsive attacks were coincident with the
eruption of teeth, the persistent spasms were clonic
and tonic in character, and had consistently defied
the usual Alesse Vs Aviane remedial measures. Lumbar puncture
showed the cerebrospinal Yaz Vs Alesse fluid to be under con-
siderable tension and Alesse Generics the removal of an adequate
amount was followed by a cessation of the attacks.
One of the cases under the care of Dr. S. A.
Jahss is worthy of an extended note. This child was
wont to have a series of Alesse Generic Brand convulsions with the erup-
tion of every tooth. Its health was Buy Alesse unimpared in
the interim. The number Alesse Acne of attacks would increase
with each succeeding tooth and Buy Alesse Online the intervals be-
tween the spasms were so shortened that the con-
vulsions were almost continuous. The last attack
lasted twenty-seven hours and Doctor Jahss noticed
that the child during this entire period was Alesse Discontinued Alesse Vs Yaz never
relaxed; clonic convulsions were followed at once
by tonic spasms in the entire somatic musculature.
Heroic medication seemed to have no effect, and
the precarious condition of the child was quite evi-
dent. The coma was absolute and the Alesse For Acne signs of in-
creasing intraventricular pressure were quite mani-
fest. By lumbar puncture about forty-five c. c.
of fluid vrere Aviane Vs Alesse withdrawn under a great deal of
tension. The convulsions stopped, the muscles
gradually relaxed, and the child fell ipto a
quiet slumber of several hours' duration. There
was moderate stupor and a state of muscular as-
thenia in the ensuing twenty-four hours, followed
by a complete and uninterrupted recovery.
Naturally so radical a method Alesse And Acne for treating the
reflex convulsions of dentition is hardly advocated
as a routine measure. Other well tried methods are
available and no doubt are just as efficacious. It is
only for those rare cases where the convulsions per-
sist and an acute hydrocephalus develops that lum-
bar puncture is recommended.
370 CicNTRAL Park West.
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