Visceral angioneuroses : (the visceral crises of vasomotor ataxia) / by Solomon Solis Cohen.

  • Solis-Cohen, Solomon, 1857-1948.
Date:
1910
Catalogue details

Licence: In copyright

Credit: Visceral angioneuroses : (the visceral crises of vasomotor ataxia) / by Solomon Solis Cohen. 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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    be spastic or paretic, or both, whether they originate in the vessel wall itself or in the central or periph- eral nervous apparatus, whether they result from conditions affecting dilator mechanism or constric- tor mechanism, or both—and in the latter case, whether in the same direction or in opposite direc- tions unequally—they are manifestly phenomena of incoordination. The local circulation has become un- balanced ; the peripheral and central circulatory mechanisms are no longer in equilibrium; compen- sation is deficient, restoration is tardy. It is for this reason, too, that recognition of the peculiarities of the individual—as expressed in physical charac- teristics, in reaction to certain easily applied physi- cal, thermal, and emotional tests, and in previous history of disordered function—become so impor- tant. The diagnosis is, in the main, a diagnosis of the patient rather than of the special collocation of symptoms presented in any particular attack. The attacks vary, sometimes to a surprising extent; but the individual liability remains, and may usually be recognized when looked for. Sometimes it is ac- quired, but usually it is congenital, and most fre- quently it is hereditary, being observable in many members of a family and, conditions permitting, traceable throughout many generations. The facts upon which this diagnosis may be based will be described after the illustrative cases have been cited. The phenomena which, lacking a better term, we describe as angioneurotic may be transient or per- sistent, general or local, and in the latter case they may be manifested in any tissue or in any organ; sometimes in several tissues and organs simultane- ously; sometimes in one tissue or organ at one time and in another at another time. As a rule, they are both multiform and multiregional; and while