A practical treatise on apoplexy (cerebral hemorrhage) : its pathology, diagnosis, therapeutics, and prophylaxis ; with an essay on (so-called) nervous apoplexy, on congestion of the brain and serous effusion / by William Boyd Mushet.

  • Mushet, William Boyd.
Date:
1866
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Licence: Public Domain Mark

Credit: A practical treatise on apoplexy (cerebral hemorrhage) : its pathology, diagnosis, therapeutics, and prophylaxis ; with an essay on (so-called) nervous apoplexy, on congestion of the brain and serous effusion / by William Boyd Mushet. Source: Wellcome Collection.

Provider: This material has been provided by University of Bristol Library. The original may be consulted at University of Bristol Library.

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    Cerebritis, or partial inflammation of the brain, occa- sionally runs a chronic course, and may be almost latent until coma supervene, headache and febrile disturbance being the only complaint until suddenly aggravated into unconsciousness. It is mostly traumatic. Of course it is usually distinguished by the persistent pain in the head, hebetude, vomiting, tonic contraction of the flexor muscles, and slowly progressive symptoms. A man, admitted into the St. Marylebone Infirmary, on account of a surgical afiection of the leg, abruptly became as it were apoplectic and rapidly died. On examination, extensive red softening was discovered in one of the hemispheres, and it was subsequently learnt that he had been much injured about the skull three months previously. Abscess, or suppurative inflam- mation of the brain, presents the same symptoms as cerebritis, and in like manner may run a latent course in rare cases. Meningitis cannot be mistaken in the early stages. It tends, however, finally to coma. It is mostly trau- matic or tubercular. Inflammation of the dura mater is almost always the result of injury or of extension from the ear, diploe, or brain, strumous or syphilitic. It is most common in young and middle-aged subjects. It may be very insidious and suddenly announced. In adults, if associated with syphilis, the cachexia and existence of caries will decide the point, and epilepti- form attacks are common from gummatous infiltration of the fibrous membrane. Disease of the cranium may, in very rare cases, cause erosion of the meningeal artery and consequent hemorrhage. Eamollissementj or white softening, is known by the previous existence of symptoms, more or less