Please click to enlarge.
Note what signs you see.
This image by A. Durer is probably more accurate than a photograph – he was among the most capable artists to illustrate accurately his observations. Most likely this child’s head reflects features that he included that single photographs could not – probably the deviated right eye is an alternating form of strabismus. Also shown is hydrocephalus and a right deformed ear (in vernacular, crumped). In that era it is likely that a surviving child with hydrocephalus represented sequelae (consequences) of meningitis perhaps due to tuberculosis (TBC). An unlikely alternative cause could be spina bifida. In any case, the deformed right ear suggests and additional mechanism or cause. (W. Wertelecki, M.D.)