On the threatenings of apoplexy and paralysis, inorganic epilepsy, spinal syncope, hidden seizures, the resultant mania, etc. / by Marshall Hall.

Date:
1851
Catalogue details

Licence: Public Domain Mark

Credit: On the threatenings of apoplexy and paralysis, inorganic epilepsy, spinal syncope, hidden seizures, the resultant mania, etc. / by Marshall Hall. 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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    system, each of them may he capable of producing per- fect apoplexy* 33. It is to this great question, hitherto left un- solved, that I hope to present the answer. 34. I hope to show that, whatever the violence of the arterial circulation, there is no danger, no ten- dency to morbid action, as long as there is no impe- diment to the return of blood along the veins ;—that the idea of ‘ tendency' or ‘ determination' of blood to the head, is a fiction and a chimsera; and that the real state of things in the condition which has been so designated, is, in fact, its impeded return from the head;—that this impeded return of blood from the head is induced by a spasmodic action of the muscles of the neck on the veins of that region,—an action evident in a vast many instances, though latent, per- haps, and to he inferred from the similarity of its effects, in others. See § 106. 35. To these conditions of the muscles of The Neck, I venture to give the designation of Trachelis- mus (from rpa>^7j\ov, the neck). Its effect on the veins may be termed phlebismus. It is frequently to be felt, when it is not to be seen, on applying the finger. It is still more frequently to be traced and inferred by observing the lividity and tumidity of the integuments of the face and neck. 36. Having made these preliminary observations.