A collection of cases of apoplexy : with an explanatory introduction / by Edward Copeman.

  • Copeman Edward, 1809-1880.
Date:
1845
Catalogue details

Licence: Public Domain Mark

Credit: A collection of cases of apoplexy : with an explanatory introduction / by Edward Copeman. 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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    in a state like tranquil sleep : bis left pupil was much dilated, bis right contracted. He was freely bled, and had some croton oil put upon his tongue; but he died at 2 o’clock on the fol- lowing morning, thirteen hours after the first attack. Sect, cadav. The vessels of the dura mater were filled. The serous membrane beneath scarcely moist, particularly on the right side. The convolutions of the brain were much flattened on both hemispheres. Blood, in parts amounting to a layer of coagulum, in the cells of the pia mater, was distributed pretty generally over the left hemisphere, and especially between the convolutions. The corpus callosum was highly arched upwards. The cerebral substance was of a natural consistence and vascu- larity. The two ventricles w’ere distended with fluid serous blood ; the inferior connexion of the septum lucidum was lace- rated, soft, and ecchymosed. The substance of the left corpus striatum and of all the three lobes of that hemisphere, were oc- cupied by one extensive cavity, containing blood and clot, the medullary substance being broken up, and presenting soft, ragged, and ecchymosed parietes to the contents, which seemed to open to the external pia mater, by some of the convolutions near the fissura Sylvii. The coats of the right cerebral artery seemed healthy, but the cylinder was obstructed by a loose flat- tened cord of fibrin, firm and of a pinkish hue, and ramifying into one or two of the arterial branches. A secondary arterial ramification in the fissure of Silvius, showed an aneurismal dila- tation with very thin coats, filled with dark solid blood, in width rather less than half an inch, and in length rather more. The trunk leading to it was healthy, and empty; the trunk leading from it was full of dark blood. The torn vessel was not found. The middle artery on the right side was also considerably diseased.—Bright's Medical Reports, vol. ii. p. 613. 120. William Heakes, a feeble man, aged 65, was admitted into Guy’s Hospital, January 4th, 1841, the subject of hemiple- gia of the right side. It appeared that he had been troubled with occasional headaches for six or eight weeks, and that five