Remarks on a case of alternate partial anaesthesia / by Sir George Paget.

  • Paget, George Edward, 1809-1892.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Remarks on a case of alternate partial anaesthesia / by Sir George Paget. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    [liepriuted for the Author from the British Medical Journal, Jan. 5, 1889.] A CASE OF ALTERNATE PARTIAL ANESTHESIA. By Sir GEOEGE PAGET, M.D., P.R.S., K.C.B., Regius Professor of Physic, University of Cambridge; Consulting Physician to Addenbrooke’s Hospital. Mr. H. M., aged 59, had a sudden paralytic seizure on June 16th, 1858. He was a widower, of temperate habits, cheerful disposi- tion, quick perception, and ready intelligence, and had the general appearance of perfect health. Prom his boyhood up to 44 years of age he had been subject to attacks of severe headache, accom- panied by sickness, which were at one time so frequent as to recur every week, and which generally confined him to his bed for twenty-four hours. At the age of 53 he became subject to occasional pain in the right sciatic nerve and transient lameness. He was sometimes attacked by this pain while walking in the street, and then had much difficulty in reaching home. At 56 years of age he became subject to a painful constriction and stiff- ness at the back of his neck, which returned at intervals of a few weeks, and was generally relieved in a day or two by purgatives. The last attack of this kind preceded by about a month the seizure on June 16th, 1858. Por twelve months before this seizure he had been subject to vertigo, more especially while lying on his left side; and for a few weeks he had been unusually prone to drowsiness, so as to have fallen asleep twice on one day during dinner. Notwith- standing these symptoms he had gone about as usual, attending to business and entering into society with his habitual cheer- fulness. During the night of June 15th, in very sultry weather, he had severe pain on the left side of the head. When he got out of bed, early in the morning, he felt giddy and instantly fell to the ground, without losing consciousness. He was seen almost im- mediately by Mr. Hough, and two hours later by myself. His en- tire left side was paretic and felt numb. His mouth was drawn to the right side, his left upper eyelid was drooping, and he could not raise it. He was.conscious, clear, and composed. He com- plained of persistent vertigo, double vision, and nausea, and of REMARKS ON