Pathological and practical researches on diseases of the brain and the spinal cord / by John Abercrombie.
- Date:
- 1845
Licence: Public Domain Mark
Credit: Pathological and practical researches on diseases of the brain and the spinal cord / by John Abercrombie. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![tiijj 'Wedr fr a stale • ’. “ tssas ajm, te WartTemmeiMtaitlieTit; all w? may Hai apo]) itill in th? stale of simple apopltxr, aMoi be loo often repeated or too 111: and it should lead us to prose- if eterT case of apoplexy witi tie ervxerance. In one case that oc- leerlinz 'xas repeated to tie extent imlred ounces, i«fed if pa« II repeated»tie extent of aboxe eai terminated faronrablv, after inareiydoubtfulstatefor reamatioD!L jjiieajeandfo* nifi T a cl® r* it adtii^ kiffi'el'”',ud.■■’- ;et' in’ It® fatal xvithout any effusion; and another in which there was most extensive effusion without any apoplectic symptom. It is likewise to be kept in mind, that in apoplectic affections the strength of the pulse is a very uncertain guide, for nothing is more common than to find it upon the first attack of apoplexy, w'eak, languid, and compressible, and becoming strong and full after the brain has become in some degree relieved by large blood- letting. It would he quite superfluous to detail common apo- plectic cases treated successfully upon these principles. But it may be of use, in connexion M'ith this part of the subject, to select a few cases, which, occurring in old and infirm people, might have been considered either examples of serous apoplexy, or modifications of the dis- ease not admitting of active treatment, yet under such treatment terminating favourably. Case CXXXVI—A woman, aged 70, of a spare habit, and thin and xvithered aspect, having walked out in her usual health, fell down in the street, speechless and paralytic on the right side. I saw her four or five hours after the attack. She was then much oppressed, but not entirely comatose. She was completely speech- less and paralytic; her pulse about 96, and of tolerable strength. She was bled to 15 ounces; purgative medi- cine was ordered, with cold applications to her head. On the following day she was considerably improved both in speech and in the motion of the right side ; but, having become rather worse towai'ds night, she was again largely bled, and purgative medicine was conti- nued. From this time she improved rapidly. At the end of a -week she was able to walk with little assist- ance, and in a few days more was restored to perfect health. Case CXXXVII.—A gentleman, aged 70, of a spare and feeble habit, and very infirm from frequent attacks of asthma, without any warning fell from his c lair on the floor in a state of perfect apoplexy, accoin- u](https://iiif.wellcomecollection.org/image/b21959432_0313.jp2/full/800%2C/0/default.jpg)
