Synopsis of apoplexy and epilepsy, with observations on trachelismus, laryngismus, and tracheotomy; and the proposal for a hospital for epileptics / by Marshall Hall.

  • Hall, Marshall, 1790-1857.
Date:
1852
Catalogue details

Licence: Public Domain Mark

Credit: Synopsis of apoplexy and epilepsy, with observations on trachelismus, laryngismus, and tracheotomy; and the proposal for a hospital for epileptics / by Marshall Hall. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    indeed it is frequently quite transitory. In both, however, the patient may become affected with vertigo and confusion, and even fall, and recover immediately. 42. In this state of the question, it is interesting to inquire whether other facts and phenomena are observed which may throw a ray of light on this important subject; and I am happy to be able to illustrate my views bv a reference to various facts of this kind. a' 43. One of these is—the effect of a tight cravat applied round the neck; and in this place I must borrow several deeply interesting facts from my former Lectures : 44. It was observed by Dr. Donald Monro that soldiers were liable to be “ carried off by apoplexy, in consequence of stricture of the veins of the neck, from being obliged to wear their cravats too tight*.” 45. Abercrombie quotes a case from Zitzilius, of “ a boy who had drawn his neckcloth remarkably tight, and was whipping his top, stooping and rising alternately, when, after a short time, he fell down apoplectic. The neckcloth being unloosed, and blood being drawn from the jugular vein, he speedily recovered!*” 46. The following case occurred in the person of a most intelligent member of our own profession. I give it in his own words : 47. “ A few weeks ago, my shirt collar was made too tight, and felt rather uncomfortable; yet not so much so as to induce me to change or slacken it. On looking into the mouth of a patient, in such a position as to twist my neck a little, I dropped down in my surgery as if I had been shot, in a moment, as helpless as a dead man. I soon got up ; but my head was giddy for some time. I changed my shirt, and lost all fear of a * See Cheyne on Apoplexy, p. 41. t On the Brain and Spinal Cord, p. 202. C