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Symptoms. The paralysis of one side of the face was the most clearly defined of these. There were also sometimes delirium and unconsciousness. The strabismus might be called a cerebral symptom, but it is often reflex in children, and Dr. Charles S. BullJ mentions that he has seen strabismus in two cases of vertebral caries. As it was not constant in the present case, and at no time was very severe, it could not have been due to a permanent lesion of the sixth nerve.doi:10.1056/nejm187603090941002 fatcat:ti5ku7g6vbafzaylaqeri7a5su