On the threatenings of apoplexy and paralysis, inorganic epilepsy, spinal syncope, hidden seizures, the resultant mania, etc. / by Marshall Hall.
- Date:
- 1851
Licence: Public Domain Mark
Credit: On the threatenings of apoplexy and paralysis, inorganic epilepsy, spinal syncope, hidden seizures, the resultant mania, etc. / by Marshall Hall. 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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![other form or degree of the same affection, with all the peculiarity it induces, laryngismus, and, in its train, it may be, odaxismus, or the—trachelismus, shall I call it]—involved in the bitten tongue. Now it is that, whereas the further phenomena in apoplexy are cerebral, those in epilepsy are spinal. 233. The first stage or first degree of both apo- plexy and epilepsy consists then in trachelismus,-—a spasmodic or spinal action, manifested in its effects on the venous circulation of the countenance and of the encephalon. The second stage or degree of these maladies, is augmented cerebral affection in the former, of spinal affection in the latter; the difference con- sisting in the different forms assumed by the trache- lismus, or of the muscles contracted, and of the veins compressed and obstructed. If these muscles are those which compress the jugulars, the case is apo- plexy ; but if they are those which compress the ver- tebrals, and close the larynx, it is epilepsy! At least, I have not been able to resist the train of thought which has forced itself upon me, and which I lay be- fore you with the utmost frankness, trusting to you to give it your most candid consideration. 234. Both paroxysmal apoplexy and epilepsy are, then, first spinal or spasmodic, only in different degree and extent; both become cerebral, both leading to coma and, it may be, to paralysis ; both terminating, occasionally, in mania or amentia. See § 183. 235. Gentleman, I commend these views at once](https://iiif.wellcomecollection.org/image/b21956704_0078.jp2/full/800%2C/0/default.jpg)
