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.

    25/140 (page 19)
    they are exceedingly deliberate in onset instead of sudden. If they were of slightly shorter duration and of greater intensity the epileptic relationship of these cases would be still clearer. Finally, if the cardio-vascular changes were absolutely sudden in onset, severe in degree, and transient in dura- tion, they would be increasingly difificult of recog- nition and the epileptic nature of the attack unquestioned. Gowers, of course, recognises that many of these cases present distinctly epileptic phenomena, and remarks that “ velocity is an essential element of ordinary epilepsy, but this does not preclude the possibility of deliberation in attacks not far re- moved from epilepsy,” The Suddenness of some Faints. Whilst the onset of an ordinary faint is gradual, in some cases it is rapid and may be absolutely sudden, A man very subject to ordinary faints on one occasion suffered from a sudden attack. He was sitting down and feeling perfectly well when he fell absolutely suddenly and bruised his face on the ground. Gowers also remarks that those who are prone to faint become after a time liable to do so more suddenly. In such cases there can be no question as to the nature of the attack. The vascular depression responsible for the ordinary faint must have occurred with greater rapidity. The suddenness suggests that a transient and sudden cardiac inhibition occurred rather than