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.
342/488 page 318
![throbbing in the bead. If, along with these local S}'mp- toms, the face be pale and the pulse feeble, and if much active treatment has been employed ivithout relief, we must suspect the presence of organic disease. The ter- minations of the cases of this first class are various ; they may he suddenly fatal by convulsion, or more gradually by coma, or by gradual exhaustion without either coma or convulsion. A very frequent termina- tion is by the accession of chronic inflammation, termi- nating by effusion or otherwise. In Case LXXXVII. I have given an example in which there w'as a remark- able mass of organic disease attached to the falx, while no symptoms had indicated its existence, until the oc- currence of the sympton^s of chronic inflammation a few weeks before death. II. In the second form, after some continuance of fixed headach, the organs of sense become affected, as ther sight, the hearing, the taste and smell, and occa- sionally the intellect. The loss of sight generally takes place gradually, being first obscured, and after some time lost; and very often one eye is thus af- fected before the other is at all impaired. Double vision also occurs, which either may be permanent or occur at intervals. One remarkable case will be referred to, in Avhich the blindness took place rather suddenly, and, after it had continued for some time, sight was restored under the action of an emetic. It remained distinct for an hour, and then was permanently lost. The intellect is frequently impaired in cases of this class, and some- times the speech is lost. The morbid appearances pre- sent no uniformity ; in two of them there were tumors so situated, as directly to compress the optic nerves ; in another, a large tumor pressed upon the corpora quad- rigemina ; in a third, the disease ivas situated at the lower part of the anterior lobe; and in another, in which the right eye only was afl’ected, it was in the substance of tlie left hemisphere, near the posterior part. In a case by Drclincurtius, the disease was an enlarge- ment of the pineal gland; and in another, in which, ORClN'f■ liotli llii III. cli ci paroijiiiis of oo ffinie Jcjree of reju place 0 to be awiavateii, and of infiarainaloiy act bare a resemblance apoplectic attacks. , to, in irbicb there w; ■TMdi,aDilittlastof ,®0fWappea/3ijfjj5 ran be traced i, tbf dirersitifs o regard to tio I as direct!, '‘te bft., ’ - ... ''Sow, >. Paiti, nd 5^e3t;:;’3nd t'jSf5.*^0sidj, . (I'fo] Sof/'^ble'.](https://iiif.wellcomecollection.org/image/b21959432_0342.jp2/full/800%2C/0/default.jpg)
