Deaf Mutism;

Cover Deaf Mutism;
Deaf Mutism;
James Kerr Love
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Of 9 scarlet fever cases with some hearing left, 5 had the membranes perforated, or absent on both sides; in 1 it was absent on one side, in 1 the membranes were dull, in 1 opaque, and in 1 natural So that of 36 cases of deaf mutism due to scarlet fever, the membranes appeared normal in only 2.
Hartmann's^ experience diflTers from Toynbee's. In most cases of typhus and scarlatina resulting in deaf mutism he found the membranes normal ; and this fact, together with the iiistory of the cases, led
... him to conclude that the deaf- ness was generally due to a «upexadded cerebral affection.
In Toynbee's cases the state of the ears in deafness due to teething, convulsions, hydrocephalus, etc., is in striking contrast to that in scarlet fever. Of 35 of these cases 17 had normal membranes. In only 2 were the membranes perforated, whilst in the remainder the changes were the ambiguous ones of altered lustre, curve, and trans- parency.
Along with the clinical facts, therefore, examination of the ears teaches a good deaL The above figures regard- ing scarlet fever and meningitis tell us that when the disease threatens the hearing from the side of the pharynx^ I the destruction in the middle ear is usually great, when 1 the hearing is destroyed from the side of the brain, the / middle ear usually escapes.


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