Congenital goitre / by Alexander R. Simpson.

  • Simpson A. R. (Alexander Russell), 1835-1916.
Date:
1866
Catalogue details

Licence: Public Domain Mark

Credit: Congenital goitre / by Alexander R. Simpson. 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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    Congenital Goitee has been described and discussed of late years by various foreign writers, under the designation of Struma Neonatorum (Kropf cler Neugeborenen, Goitre des nouveau-nes), or, from one of its most prominent symptoms, Asthma Thyroicleum. But, in English literature, except in a short article in the Obstetric Memoirs of Sir J. Y. Simpson,* and in another, still more brief, by Dr. Crighton,f* of Chapel- en-le-Frith, Derbyshire, I have not met with any special notice of the affection; perhaps, from the circumstance that it more rarely comes under observation here than on the Continent. It may, therefore, not be uninteresting if I bring before this Society the history of a case which I recently witnessed, and state some of the points in connection with the disease which have been recorded by other observers. CASE. A lady, in excellent general health, had had two abortions at early periods, and a miscarriage at the seventh month. When she again fell in the family way, she was put upon chlorate of potash, which she continued to take regularly, three times a day, up till the time of her delivery, which took place at the full teraa. Labour was tedious throughout, but most markedly so during the second stage; for, although the passages were wide, flaccid, and dilatable, the anterior fontanelle came too easily within reach of the finger, and the head descended in a state of imperfect flexion.:]: I had great fear lest the perineum should give way during the passage of the head; but, except that the mucous membrane inside the vulva, at the * Vol. II., p. 392 ; and Edinburgh Monthly Medical Joiirnal for April, 1855, Vol. XX., p. 350. t Edinburgh Monthly Medical Journal for August, 1856, p. 149. X This has been pointed out specially by Sir J. Y. Simpson, who com- pares the effect of the tumour to that produced by the presence of the child's hand or arm in the neck.