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)

    50/455 (page 34)
    Twice, witHn our own experience, after tying one carotid, have convulsions been observed on the side of the application of the ligature, attended with paralysis of the opposite side- symptoms often noticed after haemorrhage into either half of the cerebrum. , A man, set. 48, whose right carotid was tied by Vincent , on account of an aneurism, was seized with convulsions on the same side an houx and a half afterwards; he then fell into a state of torpor and became paralysed on the left side. Sixty-two ounces of blood were taken from him within the first three days. Nevertheless, the convulsions continued, and only ceased two days before death, which followed on the seventh day after the operation. The right hemisphere of the cerebrum was softened to the consist- ence of cream; its veins were less congested than those of the left hemisphere, which exhibited blood-spots. The ventricles contamed more serum than usual, whilst the cerebellum was m a healthy condition. „ i . i. • „ A man, set. 28, thrust the mouth-piece of a clay tobacco-pipe through the root of his tongue into the right carotid at its bifurca- tion It broke and stuck fast, and acting as a complete plug, gave nse to a'tumour, and seven days afterwards induced violent haemorrhage. Vincent 2 tied the carotid, and during the operation remarked the presence of convulsions of the right and paralysis of the left side. These symptoms lasted till the man^s death, five days afterwards; onlythaUhe convulsions grew gradually weaker. Up to the time of brelthing his last, the patient's mouth and nose bled at intervals. The n ck was swollen Lund the bifurcation of the carotid, where an effusion of blood and pus was found, and the jugular vein was doseTto a third part of its ckcumference. But httle blood was Abbandl. .ur wiss^sch. Med.i^ f^^^^ ^'i:^:, '^S^'-^i:'^-^} Feb x'sS SierC. 'Pu p. 189; -tSurrows, ^ Traube, 'Deutsche Klinik/ 1854, 4th quarter. We Have ^^P^^ , , t fouud one u winch simul- tUe above-ment one works >» „f Burrows' excepted, taneous eonvulsions °°fj°„t,j „itU disease of tlie heart, and still -^aiX^^^^^^i^'^'^ »-ed fron. henripie^i. combiued with chorea. . 1 ' Medico-Chirurg. Transact., vol. xix. 2 Ibidem.