Some disorders of the cerebral circulation and their clinical manifestations / by Alfred E. Russell.

  • Russell, Alfred E. (Alfred Ernest), 1870-1944.
Date:
1909
Catalogue details

Licence: In copyright

Credit: Some disorders of the cerebral circulation and their clinical manifestations / by Alfred E. Russell. 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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    described as a difficulty or slowness of mental operations, a difficulty in thinking or in con- centrating attention. These also always began suddenly. A sense of sudden fatigue was a common initial symptom. The vaso-motor sym- ptoms sometimes attained a high degree, cold- ness of skin was common, and the pulse became small at the same time. Pallor of face and shivering were common, and sometimes amounted to a definite rigor. With the coldness of the extremities tingling and numbness in them were often described, and sometimes slight tetanoid spasm occurred. Migraine was not uncommon in these cases. In one case of a woman, aet. 28 years, the attack began with headache and inability to fix attention, followed by sleepiness. Then ensued a feeling of intense fear, extreme coldness of hands and feet and inability to move; then an indescribable epi- gastric sensation, and after a few minutes violent beating of the heart with a feeling of suffocation. The attack subsided as a flush developed with a feeling of warmth, perspiration and a rigor. A curious sense of unreality in all she saw was present during the attack. In severe attacks the violent action of the heart was preceded by a feeling that it had stopped. In another case, a man, aet. 30 years, had suffered from attacks for twelve years. Quite suddenly a dreamy mental state would occur. This was not momentary, as in epilepsy, but