Observations on chronic inflammation of the brain and its membranes / by John Abercrombie.

Date:
[1818]
Catalogue details

Licence: Public Domain Mark

Credit: Observations on chronic inflammation of the brain and its membranes / by John Abercrombie. 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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    and some delirium ; face flushed; pulse 60. Had been unwell so as to keep the house for a week, but only occasionally in bed; s3'mptoms much increased for two days. Pulse on the former days had been from 80 to 90. 19ih, 20th.—No improvement; violent headach ; a good deal ot delirium. Pulse from 75 to SO. Large and repeated blood-letting, cold applications, blistering, purging, &c. were employed 2 ist, 22d—Headach easier ; less delirium ; pulse SO. 23d, 24’h —Continued better. Pulse from 80 to 8-i. 25th.— K. tendency to stupor; began not to know those about him. 27th.—The stupor had increased to perfect coma, in which state he lay for four days, and died. His pulse had continued from 75 to 84. DissectioJi.—Much effusion in the ventricles, and a good deal found in the base of the skull. The fornix was broken down in- to a shapele.ss mass of white pulpy matter. From similar de- struction a large opening had been formed in the septum luci- dum, and the cerebral substance, forming the inner surface of the lateral ventricles, had the same soft pulpy appearance. There was considerable deposition of coagulable lymph on the upper surface of the cerebellum. Case 6.—D. G. a printer, aged 21, (3d September 181G,) was affected with violent headach and impatience of light; fre- quent vomiting; had an oppressed look, with unfixed expres- sion of his eyes. Pulse 70, and strong. Tongue clean. Had been ill si.x days; for three days had vomited almost every thing he had taken. Large blood letting, purging, blistering, &c. were employed, and afterwards mercury, and an issue in the neck. 4‘th. —Vomiting abated ; headach relieved ; pulse 54. 5th.— Pulse 56 ; headach much relieved ; no vomiting. 7th.— No headach ; eyes bore the light; look natural; pulse 48; double vision occasionally, not constant. 9th.—Sitting up, and dressed ; pulse G<); no pain; constant double vision ; tongue clean ; some appetite. tOth.—Vision natural; in other respects as before. tlth.—Pulse 96. Made no complaint; but his look was va- cant, and the pupils dilated ; and there had been some delirium in the night; tongue clean ; bowels open ; vision natural. 12th Pulse 9G. Considerable delirium ; no complaint of his head; vision natural. 13th.—Increasing stupor.