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April 21, 1900


JAMA. 1900;XXXIV(16):1009. doi:10.1001/jama.1900.02460160051013

The recognition of disease-conditions in children is often rendered exceedingly difficult because the diagnosis must be based almost wholly on evidence of an objective character, and while this is sometimes more trustworthy than are purely subjective symptoms, it is by no means always satisfactorily elicited. The difficulty is often enhanced in the discrimination of disease of the nervous system, as children respond so readily with nervous manifestations to various forms of irritation, while on the other hand, from developmental and physical reasons, certain symptoms that are distinctive in the adult are wanting in the child. Thus cerebellar disease is attended especially with derangement of co-ordination, as exhibited in unsteadiness in standing and in walking, with vertigo and vomiting and often also with nystagmus; but co-ordination is naturally deficient in the young child and vomiting is common from other causes. An additional symptom of cerebellar disease in early life is described

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