A treatise on nervous diseases : their symptoms and treatment : a text-book for students and practitioners / by Samuel G. Webber.
- Q135585662
- Date:
- 1885
Licence: Public Domain Mark
Credit: A treatise on nervous diseases : their symptoms and treatment : a text-book for students and practitioners / by Samuel G. Webber. 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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![Griesinger refers to the sensation caused by a large cyst moving with the motion of the head. This is, however, felt under other circumstances where there can be no cyst, and therefore is not pathognomonic. - When the haemorrhage first occurs, there will be the symptoms of meningeal haemorrhage, more or less fully marked ; the symptoms of cerebral compression, aboli- tion or dullness of intellect; motor disturbance, irregu- lar spasmodic motions, contractures, or loss of power, sometimes paralysis ; slowness of pulse, sometimes with irregularity ; the opposite pupil more dilated, the cor- responding pupil contracted. These symptoms may be very marked if the haemor- rhage is large, and the paralysis may even be bilateral, though one side is affected first, the other later. The patient regains after some days his former con- dition of health, or may remain dull, drowsy, and paretic ; usually the headache persists. After a longer or shorter interval, another attack occurs. With the repetition of the phenomena the diagnosis becomes more certain. DiAGisrosis.—When the haemorrhage is insignificant, a correct diagnosis may be impossible; when the haem- orrhage is large, the symptoms are those of meningeal haemorrhage, and it is only by waiting for the subse- quent course of the case to develop that a diagnosis can be made. PEOG]srosis.—The disease is always serious and gen- erally fatal; recovery may occur. Griesinger reports a case in which the haemorrhagic cyst was found nine years after the attack, the patient having recovered his health. Often, however, the disease with which the pachymeningitis is associated is one which renders re- covery hopeless. Teeatmeistt.—The treatment should have reference to preventing the haemorrhage, to favoring absorption. Quiet, rest, cold to the head without intermission, leeches behind the ears, and a light diet, may fulfill the](https://iiif.wellcomecollection.org/image/b21204524_0066.jp2/full/800%2C/0/default.jpg)
