Pulmonary consumption, a nervous disease : considered as such from a practical, a clinical, and a therapeutic standpoint / by Thomas J. Mays.

Date:
1891
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Licence: Public Domain Mark

Credit: Pulmonary consumption, a nervous disease : considered as such from a practical, a clinical, and a therapeutic standpoint / by Thomas J. Mays. 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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    lO every case, occupying one apex in four and both in two cases. These lesions undoubtedly occurred previous to the onset of the paresis. In the remaining nineteen cases the changes were recent. The lesions were confined to the right' lung in three cases (males), to the left in seven cases (four males and three females), and to both lungs in- nine cases (five males and four females). The disease consisted of gray miliary tubercles in nine cases; of caseous masses in five cases; and of mixed gray granulations, and yellow cheesy masses in five cases. Cavities were associated with the miliary tubercles in three cases, and with the mixed tubercular and caseous degeneration in four cases. The vomica, which in five cases were confined to the upper and in one to the lower lobe, were always of small size, with ragged walls and without false membranes. There can be no questio.i that in the nineteen cases the phthisis had arisen during the course of the general paralysis, and was cut short by the fatal termination of the latter. Further evidence of the same kind is afforded in the statistical report of 1,240 post-mortem cases of in- sane subjects by Snell, jun. (Ueber die Lungetischzvind- sucht bei Geisteskrankheiten. Neurolgisches Central- blatt, 1887, s. 261), in which it was found that about 30 per cent, suffered from phthisis. On account of the fact that, as a rule, phthisis developed in the wake