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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![often follows scarlatina. The sudden disappearance of the discharge in these cases, is followed by pain in the ear, this by languor and drowsiness, and in a few days by coma. The pulse is in some cases frequent, in others natural, and in others below the natural standard. The nature of this disease is illustrated by dissection. There is generally caries of the pars petrosa of the tem- poral bone, sometimes confined to a small spot of it. A portion of the dura mater corresponding to this part is inflamed and thickened, spungy, or ulcerated, and generally detached from the bone. Between it and the arachnoid, there is commonly a deposition either of purulent matter, or of false membrane, and this de- position sometimes extends along the tentorium. In some cases there is a superficial abscess of the brain it- self, or of the cerebellum, often with effusion in the ventricles, and the other usual marks of general disease in the brain. IMatter is also frequently found in the cells of the petrous portion, in the canals of the ear, and in the cavity of the tympanum, and sometimes it extends into the cells of the mastoid process. This disease will be illustrated by the three follow- ing cases, the third of which is valuable from showing the disease in an intermediate stage of its progress, the fatal event having taken place from another affection. Case II.—A gentleman aged 20, on the 20th Jan- uary 1820 complained of violent toothach, seated in a tooth on the right side of the upper jaw. On . the 21st, the pain extended into the ear, without any other symp- tom. On the 22d, the pain continued in the ear, and extended toward the temple. lie lay in bed part of the day, but got up afterwards. Leeches were applied, and he took some laxative medicine, which he vomited, and he had afterwards repeated vomiting. On the 23d, the pain was more general over the head and across the forehead, with some vomiting, and in the evening he had shivei'ing. In the night he became in- coherent and delirious: he was then seen by a surgeon, who found him considerably incoherent, but complain- 11. tosnfcr 1*1 usciiieDnw*™ ‘ Qit; he ansifered qucslions disfinc I rod, hit talked incoliereullF'riienli Mlkeptup. He re now treated hy HeAf irhich be bore well; cold ii] t'linj, piirjatives, kt. Oa tbe even! I'antn/ioM >h\ »htrn*in/f Ibn |/m^auic9j tu, ou uiv tibiu ibaemjcoaArable sbiveriDg. Un i^lescraplmtofpm, ktmore a teiJeiiq to stapoi, raise (tom ( roused, but a \mm to HQjoT, iroia ( Mfe®l«)tolt-2(tli,!ffid211 Mdjucsranstvbeu roused, but Jjfulsevarniifffrojjq/Ji j( !■ 4 ■ ''ueii U' wi Hisciar](https://iiif.wellcomecollection.org/image/b21959432_0056.jp2/full/800%2C/0/default.jpg)
