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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![in a full stream, and then coagulated. Ife was some- Avliat lethargic, hut distinct when roused ; and com- plained of pain in his head, chest, and bowels. His head and his legs were in almost constant motion, but his arms were paralytic, being entirely deprived both of U)otion and feeling. His breathing was easy; his pulse frequent and small; countenance pale and anxious; and he had involuntary discharge of urine. In the evening, he again vomited blood in considerable quan- tities. (17th,) There was little charge, except that he recovered the power of the bladder; perfect palsy of the arms continued, but his legs were in almost con- stant motion. There was no return of the vomiting of blood through the day; at night he fell asleep, and slept quietly for some hours, when he awoke quite sen- sible ; but soon alter, was seized with vomiting of blood to a great extent, and died almost immedi- ate!3^ Inspection.—The heart and lungs were healthy ; the stomach contained a very large and firm mass of coagu- lated blood, which entirely filled it, and extended into the duodenum. In the descending aorta, about the 4th and f)th dorsal vertebrae, there was an aneurism the size of an orange, which had burst into the oesophagus by a large opening. The 3d, 4th, and 5th dorsal vertebras were extensively carious in their bodies, where the sub- stance was destroyed to the depth of a quarter of an inch. On opening the spinal canal, some bloody albu- minous-looking matter was found between the bone and the dura mater of the cord, and between the dura and pia mater of the cord, there was a considerable quantity of a tenacious sanious blood}' matter, which covered the surface of the pia mater, from about the 2d or 3d to the last dorsal vertebra. The substance of the cord, from about the 3d to the last dorsal vertebra, was of a yellowish colour, and in a state of extensive ramol- lisscment, especially about the centre of this space, where it Avas entirely diflluent. On removing the cord, the anterior part of the spinal canal, vicAved from behind, presented several places where the bones were si'ppri! most remarkal'le abou verltbrff. It mat pfi'taps beiloiibteti. I'in wbicb I baTC referred to ihh littiii, be referable to lie raniollisseiiient. (oodiiioiis rvere not accurately disci but in lie brain tlere seems ever)'; %areeniirelj distinct; and it i aiajliieivise be so in tie cord. UTOmaD,aged2affboh,id was seized ii'iil, in/ i D!J, Vd, and Skill 1**“ ''™e’itof( ® and fon , tarne^^f'e '®s far snb' ^®dtlio ■' arii„ itrh'ii.^^ddea,], ^^'eson„,®’ilatioi 'it “C'*- oN, (a](https://iiif.wellcomecollection.org/image/b21959432_0376.jp2/full/800%2C/0/default.jpg)


