Nervous diseases : their description and treatment / by Allan McLane Hamilton.

  • Allan McLane Hamilton
Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: Nervous diseases : their description and treatment / by Allan McLane Hamilton. Source: Wellcome Collection.

    18/540 (page 18)
    Vertigo—Variety ; concomitunt plienomena. Sensation-—Gciicriil or piirtial anajslhcsia; flyscesthesia or liyperaes- tliesia; condition of reflex excitability ; susceptibility to painful impres- sions ; temperature ; tactile sensibility; sensibility to pressure; pain, localized or general ; character of pain, neuralgic, terebrating, dull, or paroxysmal; time when aggravated ; its associations; time of transmission. Disorders op Organs of Special Sense. Eyes—Nystagmus, strabismus, conjugate deviation (see article Cere- bral Hemorrhage), retinal changes, pupillary changes, ptosis, diplopia, amaurosis. Ear—Deafness, subjective noises, discharge. Speech—Aphasia, slow speech, clumsy speech, ataxia, loss of si^eech (mutism). Pstchical Disorder—Illusion, hallucination, delirium, mania, me- lancholia, delusions, loss of memory, loss of consciousness, imbecility, idiocy, excitability, dementia. Miscellaneous—Character of cutaneous surface, changes in tempera- ture, variation in salivary secretions, changes in pigmentation and appear- ance of hair, perspiration, etc. Exciting Cause ; Diagnosis ; Treatment. This list, though imperfect, will, I think, enable the observer to pursue a systematic course in examining his jiatient. He should, at the same time, take careful notes for future reference, so that variations in the symptoms and changes of treatment may be remembered. Before leaving the subject of examination, I wish to refer to the value of post-mortem examination and microscopical investigation of the morbid anatomical changes. These subjects belong more properly to s])ecial works upon pathology and microscopy, but it may not be amiss to add a few hints to those already given in regard to certain important steps to be taken. In removing the calvarium the thickness of the cranial bones should be noted, as well as the condition of the di])l()e; but extreme care shonld be cm])loyed, in sawing through tlie bone, not to wound tiie meninges and brain-sub- stance beneath; for the saw-teeth may unexpectedly tear through, lace- rating and injuring these parts, so that they may be almost useless for sub- sequent examination. After the skullcap has been removed, the observer should be on the lookout for racchonian bodies, and ready to recognize any adventitia that may be attached to the dura mater. The condition of the longitudinal sinus and veins which are contained in the dura mater should be examined as to their fulness, etc.; the tiiickness, vascidarity, color, and opacity of their tissue should also be carefully noted and then an incision