Cheyne-Stokes respiration / by George Alexander Gibson.

  • Gibson, George Alexander, 1854-1913.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Cheyne-Stokes respiration / by George Alexander Gibson. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    ])Ujiillaiv ceiitro, and rel'tTS to tlie observations of Vigouroux on tlie iiction of the iiis in inspiration and expiration, and to tlie ivsearclies of Kiissniaiil on the influence of the circulation on it, as well as to the investigations of Adaniuk on stimulation of the corpora quadrigeniina. I^istly, he mentions that in spite of deep inspirations ])ro(luced by electric stimulation of the phrenic nerves, the onset and course of the period of breathing were unaffected. He notes that each deep inspiration thus produced by artificial stimuli was accompanied by dilatation of the pupils ; this, however, he says may be due to stimulation of the symi»athetic in the neck l)y the current. Haelmdel^ enteiS very fully into the whole matter in his inaugural dissertation. After some historical and critical observa- tions he mentions that he had frequently noticed the appearance of groups of shallow or superficial respirations without any pause. Such a phenomenon he considers to be a transition towards the more fully developed form, and he explains it in a manner similar to Traube's theory. He thereafter narrates seven cases of Cheyne- Stokes breathing which he had personally observed:—Mitral incompetence, with embolism of the right Sylvian artery ; chronic endocarditis, with mitral and aortic lesions and thrombosis of the left internal carotid artery; aortic incompetence, with fatty degeneration of the muscular structure and hypertrophy and dilatation of the heart; sclerosis of the coronary arteries, with cardiac hypertrophy, and stenosis of the inferior vena cava from hepatic fibro-sarcoma; mitral stenosis, with atheroma of the arteries of the base of the brain, and softening of the left optic tiialamus; chronic renal disease with unemia; and, lastly, chronic renal disease with mitral incompetence. In his remarks on these cases he calls attention in one instance to the persistence of consciousness throughout all the phases of the breathing, and in another to the pupillary changes which were present, but which did not in all respects coincide with the appearances described bv Leube. In this thesis the author refers to a case which he attributes to Erb, in which cerebro-spinal meningitis was accompanied bv Cheyne-Stokes respiration, the cau.se of which had been supposed ' Cebcrdas Chfync-Stokci>scli<: lUgpiratioHJi-Phuiiviiieii. Urv.-'lau, 1S70.