Synopsis of apoplexy and epilepsy, with observations on trachelismus, laryngismus, and tracheotomy; and the proposal for a hospital for epileptics / by Marshall Hall.

  • Marshall Hall
Date:
1852
Catalogue details

Licence: Public Domain Mark

Credit: Synopsis of apoplexy and epilepsy, with observations on trachelismus, laryngismus, and tracheotomy; and the proposal for a hospital for epileptics / by Marshall Hall. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    179. It is singular to observe how laryngismus becomes, in both apoplexy and epilepsy, the intermediate link between the milder and severer disease—the effect of the former, and the cause of the latter. The due appreciation of these facts will lead to an important principle of treat, ment in one of those affections, and of prevention in the other. The latter of these must be viewed in the light of a remarkable prediction fulfilled by the event. 180. The conclusions to which I have arrived, are— 181. 1. That, in cases of the apoplexia gravior without organic disease, the patient ought not to be permitted to die, without the insti- tution of tracheotomy. 182. 2. That, in cases of the epilepsia gravior, laryngismus with convulsion, and danger to life, mind, or limb, ought not to be permitted to recur, without giving the patient the hope involved in the same operation. 183. 3. By tracheotomy, I repeat, the ‘ haut maV is converted into the ‘ petit mat] beyond which the dire affection, for want of obstruction to the breathing, with expiratory efforts, cannot proceed; and even this 1 petit maV may, for want of renewed havoc made on the nervous structures, with induced susceptibility to returns, subside and disappear.