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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    restlessness, of the head and hands ensued, and it ended by a slight flushing of the cheeks, some tears in the eyes, and the patient would give a slight sigh, or little hem or cough, and the weak- ness would be over. The ‘slight fit’ came on with a soreness or sharp feeling in the stomach and left side of the thorax, which would then extend up the right side of the chest into the head and eyes. The pallor of the face would be more marked, the eyes would turn up to the right side, and the hands would fidget and the fingers catch at the sheets. The patient always came out of this fit in a more frightened and slightly dazed manner, and the eyes had a strained and somewhat blind look for some minutes. The ‘ severe fit ’ was more distinctly epileptic with sudden onset, the patient falling back if sitting up in bed, great pallor, convulsive movements of hands and arms, and also slightly so of feet, uncorisciousness for five or ten seconds, and then great flushing of the face, and the patient came out of it very confused, and she was dull and nervous the whole day following. She never bit her tongue or passed urine in them.” Many other cases could be quoted, but the above are enough to justify the statement that cessation of the heart for a limited number of seconds is associated with transient loss of con- sciousness which may be absolutely indistinguish- able from petit mal (indeed. Finny regarded and treated his patient for such on first seeing the case), and that with more prolonged cardiac arrest