Licence: In copyright
Credit: Arterial hypertonus, sclerosis and blood-pressure. 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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![paralysis had come on in the early hours of the morning, and had been preceded hy great restlessness. The women who occu])ied the same room volunteered the information that she had been “ strange in her mind ” for a week past, that she “ knew nothing,” and was “ (piite vacant.” I saw her first on the 11th of November, and that afternoon she was put on small doses of erythrol tetranitrate, which were continued for some days, Init was stopped, as there was no diminution in the degree of paralysis. On the 17th her face was flushed, her temperature was 101°, and her radial vessels were relaxed. She had slight bronchitis, and during the day her breathing seems to have become oppressed, and she died quietly that same evening. The post-mortem examination showed a sub- cortical area of softening, about the circumference of a florin, in the upper part of the parietal lobe, posterior to the ascend- ing parietal convolution, the grey matter over it being a mere film. There was also distinct although moderate softening, involving the internal capsule on the same side. There was no htemorrhage. The cerebral veins were engorged, and there was a large amount of fluid left in the skull when the brain was removed. The kidneys were atrophied and granular. In this case the possibility of a secondary Imemorrhage was suggested by its presenting a certain resemblance to Case 74 in the terminal phenomenon of a rise in temperature, and yet it was found to be one of pure softening, with such a brain (edema as is frequently found in old people with atrophied kidneys. Case 76.—Peter M., aet 74, was the victim of a harmless delusion. On the night of the 9th December 1906, he became restless, got out of bed, wandered about the room in which he slept, and when I saw him on the morning of the 10th he was full of delusions. I admitted him to my ward in the Infirmary that same day. He was kept in bed and was quite quiet, but had a fixed delusion that he had been assaulted. On the morning of 15th December he was found by the nurse to have lost the power of the right side and to be speechless. When I saw him at 11..30 a.m., he was lying on his back with the eyes open and all the appearance of](https://iiif.wellcomecollection.org/image/b28036591_0208.jp2/full/800%2C/0/default.jpg)
