On the causes, nature, and treatment of palsy and apoplexy : of the forms, seats, complications and morbid relations of paralytic and apoplectic diseases / by James Copland.

Date:
1850
Catalogue details

Licence: Public Domain Mark

Credit: On the causes, nature, and treatment of palsy and apoplexy : of the forms, seats, complications and morbid relations of paralytic and apoplectic diseases / by James Copland. 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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    tion of it and of the grounds, can be exclusively allotted to the patient’s use. When, as is generally the case, removal from home is indispensable, I should always most strongly advise that the removal should be to a well-conducted asylum. There, and there only can every attention be secured to this particular class of patients, and all risk of neglect and severity avoided.” 640. C. The association of palsy with cardiac disease arises from the same pathological states as associate the latter with apoplexy, as shown above (§§ 320. et seq.); and the treatment does not materially differ from that advised for this latter association (§§ 599, 600.). In most cases, medical treatment should be directed pri- marily to the disease of the heart, according to the nature of the lesion detected in this organ, and contem- poraneously or subsequently, as the state of complica- tion may suggest, to the paralytic affection. Not only should the states of these associated diseases suggest the plan of treatment and choice of means, but the age, habit of body, previous disease, the history of the case, and the habits of the patient ought also to furnish indi- cations for both the medical and regimenal management. 641. D. The treatment of disease of the cranial bones or of carious or scrofulous or tubercular altera- tions of the verlebrce associated with palsy, may be said to have been already noticed (§ 623. et seq.), since the same means as have been advised for the more chronic cases of paraplegia or of general palsy are also appro- priate to this complication. In the more common cases of this kind, namely, in those where the vertebise are diseased, but little can be done with rational hopes of success, beyond what has been recommended above (§§ 625.). But in the course of treatment, the inter- currence of inflammation of the membranes or even of