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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!['‘•'fikiali ''“Wi'ne^oftlitbTOn, hcts >raj?%;kuvdny® ndiTidiijl iji5 sutffifd ][| ty apoplectic attack wittioat fab any iad effects frcnilliein. n avi may pnWly lead to ON THE CIRCULATION IN THE BRAIN. 307 j facts ifH W “s lie train may te de- ,)ilitreiitlioiii“yof f muui uiui.u .•I*'?! iefWooi*”- takit? j „,,it 1 D*' Wlbl« some of these facts without indulging farther in specu- lation. A gentleman, aged about forty, had been for some time losing considerable quantities of blood by arterial haemorrhage from tlie rectum. Considering it as mere- ly htEmorrboidal, he had paid little attention to it, until his friends became alarmed by his altered appearance. From being strong and rather plethoric, he had become weak, exhausted, pale and haggard. He had anasarca of his legs,—his pulse was frequent and feeble, and much excited by the least exertion. Along with these symp- toms, he was liable to strong and irregular action of the heart, and complained of giddiness, tinnitus aurium, violent throbbing in the head, and frequently of throb- bing headach. On examining his rectum, a fungous tumor was found within the sphincter, on the apex of ■which a small artery u’as bleeding per sallum. This was tied, and there was no return of the hcemorrhnge ; and under the use of nourishing diet, and a liberal allowance of wine, all his other complaints disappeared. He made up so rapidly in flesh and blood, that not long after, apprehensions were entertained that he was be- coming too plethoric, and it became necessary to reduce his regimen, but under these circumstances he had no return of the symptoms in his head. A lady, aged twenty-five, had been frequently bled on account of symptoms in the head which had super- vened upon an injury. Considerable relief had follow- ed each bleeding ; but the symptoms had soon returned so as to lead to a repetition of the bleeding at short intervals, and this had been going on for several months. When I saw her, she was stretched upon a couch, her face of the most death-like paleness, or rather of the paleness of a stucco figure, her pulse very rapid and as small as a thread, her general weakness extreme. The mass of blood appeared to be reduced to the lowest point that w-as compatible with life, but she still com- plained of frequent headach, violent throbbing in the head, confusion and giddiness. It was evident that evacuations could bo carried no farther, and, in con-](https://iiif.wellcomecollection.org/image/b21959432_0331.jp2/full/800%2C/0/default.jpg)
