Cheyne-Stokes respiration / by George Alexander Gibson.

  • Gibson, George Alexander, 1854-1913.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Cheyne-Stokes respiration / by George Alexander Gibson. 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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    l''nl]n\\ iiiL: rxMi-^nii's iciiiaik^, Ilciiiy Ivriiiicilv iiiontioned^ that lu; liiid lii'fii It'll tn (lie (;()iiclu.si()ii lliaL llic; syiiii>L(tlii was more nr less counseled with the iiervDUS system L^^eiieniliy ralJicr thaii wiili any jiarlicular di^mii comiecLcil wilh llio chust, wliicli vic^w was (j()iiliniic(l liy soiiK' coiiiiiion ]>li('n(jmi!iia, suuli as the altcralioii ftf brtMiliiii^ in slcc]), sliowin^? tluit the breathing may vary in health ; the ciicliial liii Milling of Graves in fever; or the clianges of respiration in hydrocephahis. lie thouglit there was evidence enough to piovc that a temporarily modilied state of the nervous system might be capable of altering and modifying the breathing. ]Ie mentioned an interesting fact that, in j)atients showing this ty])e of respiration, the ascending and descending character dis- apiK-aicd when tliey were placed on their sides. A case of diphtheria in a boy 2^ years old afforded v. Hiitten- l)renner- the opportunity of studying Cheyne-Stokes breathing, whicii he attributes in this instance primarily to weakness of the heart from the diphtheritic poison. He n^fers to the Traube- lllehne controversy, but refrains from criticism. Ihill'* has placed three cases on record in which the peculiar breathing in question was noticed. The patients in whom it ap- ]iear(Ml siillrreil fiom chronic renal disease, with sclerosed arteries, hypcrtro})hicd heart, and cerebral Inemorrhage; granular kidney, arterial atheroma, cardiac hypertrophy, and pericarditis; and duo- denal cancer, in which, after the use of morphine for the agony caused by the disease, Cheyne-Stokes breathing appeared. In a letter which the author has kindly addressed to me, he states that he is not satisfied with any of the present theories. Hayden fully discusses the phenomenon in his work,'' and gives tlie following exj)lanation of it:— I have already stated, he says, that the only lesion of structure with which ihythmical irre- gularity of breathing lias been always found associated is athero- matous or calcareous change, with dilatation of tiie arch of the aorta, involving loss of elasticity in its walls. 1 lliiuk these changes sujiply the conditions of a rational theory ol' the pheno- ' Till- Dublin Joimial of Medical Scituce, vol. Iviii. p. 521. 2 Jahrburh fur Kinderhcilkumlc timl jihijuische Erzii/ivtuj, luui' I-'ul^'c. \iii, .ltibr;,'aii>,', S. 420, LsTf). 3 Norsk Mivinzin far Lmjcvideuskahfu, ill. Riu-kke, v. Bin<l. S. iSr), )87>. < The Disi'osni of the Hunt and uf (he Aorln, p. G32, UiiMiu, 1870.