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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![-1-X \.j±: -rvit x J-JX%.±xjo that he could not utter an articulate sound. He was quite conscious, and evidently greatly annoyed at his inability to speak, or to get out of bed. His vessels were thick and contracted, and measures were at_qnce taken for their relaxa- tion. He had considerably improved by the following day, and two days later he had regained his former power both of locomotion and of^speecli. That the symptoms here were due to an interference ‘with the blood supply of the damaged area in his brain i^ I think, beyond question; that he would not so speedily have recovered had the condition been local thrombosis is equally beyond question; while the occurrence of vessel constriction readily explains the loss of power—the prompt relaxation explaining the speedy recovery. GROUP VI.—CHEYNE-STOKES BREATHING WITH THICK ARTERIES. This case is interesting, and, taken along with the other observations in tins chapter, is instructive, although mean- while it stands by itself. Case 7 9.—E. K., a man aged 70, had been for a short time in Queensherry House. It is unnecessary to dwell upon his condition before he came under particular observation. In the middle of May 1907 he was confined to l>ed with, it was stated, difficulty of breathing. He was given spirit of nitrous ether and stramonium tincture. For some days his condition was very critical, so l)ad that the nurse had been summoned several times as it was thought he was dead. I saw him on the 28th May, when he was said to have somewhat improved. His condition was, however, still serious: he had marked Cheyne-Stokes breathing, the period of apnooa lasting for thirty-five seconds, tlie period of breathing for thirty seconds. Tins rliythm was quite regular during the times I saw Inm. The pulse varied from 48 to 120 per minute, being very irregular both in force and time. On the 29th his pressure was al)out 200 mm. Hg., the radial artery was much thickened and hard. The heart duhiess was in the nipple line, there were no murmurs ; tliere was no alhumin in the urine. The breathing continued the same as on the ])revious day. The pulse was](https://iiif.wellcomecollection.org/image/b28036591_0212.jp2/full/800%2C/0/default.jpg)
