On characteristic modes of fatal termination in multiple neuritis, with clinical and pathological investigation of an illustrative case / by G. A. Gibson and R. A. Fleming.

Date:
1895
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Licence: Public Domain Mark

Credit: On characteristic modes of fatal termination in multiple neuritis, with clinical and pathological investigation of an illustrative case / by G. A. Gibson and R. A. Fleming. 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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    anterior part of the right lung. The left pleura and peri- cardium were normal. Heart.—Its external appearance was normal. Both ven- tricles contained ante-mortem coagula, extending along the arterial trunks. The arterial valves were competent. Aortic . Cone Diameters, . 0'95 in. Pulmonary . . LO „ Mitral . . . • • • 1*5 „ Tricuspid . • 1*8 „ The valves were normal. The left ventricle was slightly hypertrophied. The other cavities were normal; the heart muscles appeared healthy. Heart weighed 13 oz. Lungs.—Left lung weighed 1 lb. 3 oz. Posteriorly it was congested and very oedematous, and the bronchi con- tained abundant frothy and blood stained mucus. Right lung weighed 1 lb. 4 oz., and was in a similar condition. Ho consolidation in either of the lungs. Abdomen.—The peritoneum was normal. Liver.—Weighed 4 lbs. It was congested—otherwise normal. Kidneys.—Right weighed 6 oz. The capsule was very slightly adherent in parts, but there was nothing else abnormal. Left kidney weighed 64 oz., and showed nothing abnormal. Spleen.—Weighed 6 oz., and was perfectly normal. None of the other organs showed anything abnormal. There were no tumours or evidence of anything pressing on cord or nerves. No gross lesions discoverable on naked- eye examination to cause the paralysis. lor these details we are indebted to the courtesy of Dr. Leith. Microscopic Examination. The portions of the nervous system specially examined were—the brain and cord, the brachial plexuses, the right ulnar, the sciatic, posterior tibial, and the right anterior