CHILD CARE IN GENERAL PRACTICE. CEREBRAL PALSY. I

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DIAGNOSTIC METHODS USED WITH LEARNING DISABILITY CASES

The extreme variability of behavior characterizing the neurologically impaired, or more recently, children with learning disabilities, demands the educator's attention to symptomatology rather than etiology. Diagnosticians must strengthen their attempts to recommend corrective remedial-education for these children rather than to serve as mere “classifiers” or intermediate “stop-gaps” between teachers and neurologists. Clinical educational techniques of proven value should be geared to the nature of the learning disability rather than to causative factors.

ENCEPHALOPATHY FOLLOWING A STING

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SEQUELAE OF BACTERIAL MENINGITIS IN INFANTS

Electroencephalograms, developmental tests and intelligence tests indicated that six of ten children under two years of age who had purulent meningitis, had apparent permanent neurological damage. The data suggested that this damage may be related in part to the occurrence of subdural effusions. Serial electroencephalograms and developmental tests appeared useful for suggesting which patients might retain a high risk of compromised brain function. The lack of further decrease in mortality from this disease in recent years may be because of cases in which meningitis is "secondary" to a primary disease of the central nervous system-that is, due to operation for brain tumor or myelomeningocele which affords direct entry of organisms. The incidence of permanent sequelae following this disease may not be decreasing.