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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    Scarpa's triangle. The patient had a great tendency to fall asleep, and when he do/ed Cheyne-Stokes res])iration apj)ear('(l. He dit-d from gradual extension of the gangrene u|)\vards, and uiiforlunaluly no post-ninitciii cxaiiiiiiatjnii was (ilii;iiiic(l. Tlic aulliur's diagnosis was fatty heart anil tlirombosis of the arteries of the lower ex- tremities. He enters into a long ])hysiol()gical argument without reaching very (ictinitc conclusions with regard to the causation of the res}>iratory rhylhni. Claus^ entered upon a criticism of I'ilchne's tiieory, based up(jn the observation of two cases under his care. The first part of iiis paper is historical,entering fully into the controversy between Traube and Filehne, and laying special stress on the statements made by the latter in regard to the oscillation of the blood-pressure seen when the vagi are intact, and absent when these have been divided. He then describes a case in which nitrite of amyl had no eflect on the periodicity of tlie respiration, which he tries to explain away by supposing that in Filehne's case the abnormal irritability of the vaso-motor centre was less pronounced than in his own. He will not allow that there is any evidence in favour of the view tiiat the cause of the phenomenon lies in any change of the quantity of blood supplied to the respiratory centre. From sphygmographic tracings, Claus concludes that there is an increase of blood-pressure at the end of the pause and beginning of the period of respiration, with a return to the normal pressure during the period of breathing and beginning of the pause, and that there is an increase of vascular contraction during the pause. He there- fore supports Filehne's theory as to the cause of the phenomenon. In a postscript to the paper the author narrates a second case, in which one inhalation entirely removed the periodic character of the breathing, while a second administration only partially modified its type. These results, however, he considers as being in favour of the theory to which he aiij)eai'S to have been predisj)n.seil. In an elderly jiatient, wliu dieil ajijiarenlly from caidiac failure, de Wette- watched the ]iheuomena of Cheyne-Stokes breathing tor thirteen day.^ and after a brief description of the case, he refers to Traube's theory. ' AUgei/ieine Zvitschrift fiir Puijclndtrit uud puijchuchjerkhtUclie Midicin, xxxii. Biuul, S. 437, 187.'>. - Con-espoiiden>BUtti fiir schiceker AcrJe, vi. .lalirgang, .S. 1-10, 187G.