On the causes, nature, and treatment of palsy and apoplexy : of the forms, seats, complications and morbid relations of paralytic and apoplectic diseases / by James Copland.

Date:
1850
Catalogue details

Licence: Public Domain Mark

Credit: On the causes, nature, and treatment of palsy and apoplexy : of the forms, seats, complications and morbid relations of paralytic and apoplectic diseases / by James Copland. 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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    to pronounce a word with emphasis, and appears broader and more prominent than the sound one, which is more contracted or wrinkled. The muscles moving the jaws and used in mastication, which are supplied by the motor portion of the fifth, still perform their functions. Owing to the palsy of the lips on the affected side, the labial consonants are imperfectly articulated ; and saliva, or even aliments sometime escape from the palsied side of the mouth. The patient is unable to spit out his saliva, or to blow fully, or to snuff up with the nostril of the affected side. Lagophthalmia generally accom- panies this state of the disease, the eye appearing more prominent, and, being exposed to constant irritation, generally becomes inflamed. In protracted cases the muscles are wasted; and hence the face acquires a peculiar expression. 60. Palsy of the portio dura may he occasioned by severe or protracted cold, or currents of air, giving rise to what was usually termed a blight: but it is probably more frequently caused by an inflamed or enlarged state of the parotid gland or a tumour in the vicinity of the stylo-mastoid foramen, or inflammation or abscess of the internal ear, or by disease of the petrous portion of the temporal bone, or by a tumour or abscess compressing the nerve at its entrance into the internal auditory foramen ; by disease of the brain at the origin of the nerve ; or by one or more tubercles, or ulceration im- plicating the nerve in some part of its course ; or, lastly, by a wound or injury of the nerve. It is thus a not infrequent consequence, at some more or less remote period, of chronic inflammation of the ear, occurring either primarily or in the course of scarlet fever ; the disease having extended to the bones of the ear, to the temporal bone, and ultimately to the membranes and