Essays on hysteria, brain-tumor, and some other cases of nervous disease.

  • Jacobi, Mary Putnam, 1842-1906.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Essays on hysteria, brain-tumor, and some other cases of nervous disease. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    it may be due to sudden alterations of intracranial pressure, by which the functions of brain-tissue are temporarily suspended, as after concussion. Psychic Changes.—The earliest is usually an ex- treme irritability, which contrasts with the lachry- mose emotionality characteristic of softening of the brain. Occasionally this culminates in attacks of maniacal excitement; oftener, however, the patient suffers from melancholic depression, and gradually becomes more and more apathetic and taciturn. This taciturnity, which is a diffused symptom, must be distinguished from true aphasia. As in all mental disturbances, the memory fails. Dementia may pre- cede death for some time, especially if epileptic con- vulsions have been severe. Case VII., by Mills : Attacks of mania at intervals. Tumor occupies occipital and postero-parietal gyri. Case, by Hunt : Speech mumbling, thick, no wrong words, mental confusion, drowsiness, loss of memory. Tumor occupies angular and supramarginal gyri. When tumor complicates a diffused meningo- encephalitis, the mental symptoms are attributable rather to that. Case, by Magnan, {Brain, 1879) : Angiolithic sarcoma (psam- moma), reducing ascending parietal gyrus to one third its volume, associated with diffuse meningo-encephalitis ; epileptiform con- vulsions for eight years ; intellectual faculties impaired ; loss of memory and moral sense ; mania, dementia. The following case is remarkable for the short duration of the symptoms : Case, by Bristowe {Brain, 1884) : First symptoms fourteen weeks before death. Intelligence early impaired, after headache and right hemiparesis. With progress of paresis patient became stupid, drowsy, finally comatose. Tumor in anterior part of corpus callosum.