Clinical observations on functional nervous disorders.

  • Jones, C. Handfield (Charles Handfield), 1819-1890.
Date:
1864
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Licence: Public Domain Mark

Credit: Clinical observations on functional nervous disorders. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    that on the removal of the pressure, the face became suffused. Indeed, Kussmaul and Tenner state, as a general result of their observations, that releasing the ligature from the cervical arteries always produces tem- porary hyperasmia of the brain. Profuse haemorrhage after delivery, says Dr. Gooch, will cause the woman to have a distressing headache, with throbbing in the head, noises in the ears, a colourless complexion, and a quick, weak, often thrilling pulse ; all which symptoms are greatly increased by any exertion. Abercrombie* describes how children may lie, for a day or two, in a state of stupor closely resembling coma from organic disease—insensible, with dilated pupils, eyes open and insensible, the face pale and the piJse feeble, and yet recover under the use of wine and nourishment. This state is induced by causes of gradual exhaustion, going on for a considerable time. It may occur in adults, though less frequently than in children. It differs from mere exhaustion in the complete abolition of sense and motion, while the pulse can be felt distinctly, and is in some cases of tolerable strength. A case is related where deafness was induced by the erect pos- ture, and hearing immediately returned in the recum- bent. The patient was in a state of extreme weakness and emaciation. A weakly female, aged 22, under my care, convalescent from catarrh, stated that her head ached, and she became giddy and fell, when she threw her head upwards and backwards. Comparing syncope with apoplexy, Abercombie Bays,t it is pre- ceded by giddiness, tinnitus aurium, and impaired vision; and is accompanied by blindness, dilated pupil, perfect insensibility, and not unfrequently passes into * On the Brain, p. 309, t Ibid. p. 300.