Selected monographs.

  • Kussmaul, Adolf, 1822-1902.
Date:
1859
Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    while the red appearance of the face graclua% subsided. The fii-st inspirations upon the restoration of the circulation were particularly deep. No further prejudicial consequences ensued. We consider it then estabHshed that compression of both the carotids in men may occasion loss of consciousness, dilatation of the pupils, prolonged breathing, and general convulsions,—in short all' the SATuptoms of a sHglit epHeptic attack. As these experiments were not always successful, it is weU to consider that in closino- the carotids no complete stoppage in the flow of arterial blood from the bram is occasioned, and that the arrest itself is mainly compensated by the collateral cu-culation kept up by tlie vertebral arteries. StiU the probabdity becomes stronger, that the sudden retention of aU tlie blood conveyed to the head wiU have the same effect in the human bemg when experiencing the loss of much blood as in other warm- blooded animals; that is to say, that sudden occlusion of aU the arteries of the head will as certainly produce epHeptic convulsions m man as has been proved to be the case in rabbits, provided the strength of the former be not too much exhausted, and the nutrition ot the nervous system not too much impaired. The operation of tying the common carotid has been frequentlv performed smce the year i8io.^ Abernethy (in i8o3),2 Fleming- Lynn and others, applied the ligature in some cases where wounds had been inflicted; and Sir A. Cooper (in 1805), for aneurism, lying both common carotids consecutively,^ and ligature of the mnommate,^ are operations wliich have been done more rarely, ' Hebenstreit relates an earlier instance of the successful LVature of the common carotid which had been wounded by removal of a scirrhous tumour Compare Hasse. .n Rust's «Handb.' vol. ii, p. 66; and Velpeau L crp.' anllild'rfl,^''' ''^^ ''''' °f ligatures having been apphed to the common carotid, forty of which at least had been successful Compare „s Elements de Medec. op^ratoire.' In the second edition ofit work published m 1839, vol. ii, p. 232, he enumerates one hundred and fif v cases of which eighty were attended with a favorable result n.. n^!? ^^■'^ '-^^'^ tied both carotids simulta that 1' 'ffr'''''-'''' '^'-^ '^'^''^-^-^ It - to be resetted that no details are given, and the source not even mentioned whenc his authority IS derived. Langenbeck, according to Chevers, is likewislsLted r, have performed the same operation with the same result. e We J, a confusion exists with some other case in which Langenbeck ttd o.T ' carotid, of which we shall hereafter speak. ^^-^beck tied only one yriiis operation has been performed ten times on livin^^ men h„f nl with fatal consequences. ° ' °^t always