Notes of a case of epilepsy in which the vertebral artery was tied / communicated by Telford Smith.

  • Telford-Smith, Telford.
Date:
[1890]
Catalogue details

Licence: Public Domain Mark

Credit: Notes of a case of epilepsy in which the vertebral artery was tied / communicated by Telford Smith. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    Reprinted from “ The Journal of Mental Science,’* Oct., 1890. Ifotes of a Case of Epilepsy in which, the Yertehral Artery was Tied. Communicated by TELFORD SMITH^ B.A., M.D., B.Ch., Assistant Medical Officer, Eoyal Albert Asylum, Lancaster. The following notes of the after-history, up to the present date, of a case in which the operation of ligature of the vertebral artery was performed for the arrest of epilepsy, may be of interest.* The patient was admitted to the Royal Albert Asylum on December 7th, 1882, from the Liverpool Workhouse, where, towards the end of 1881, bis left vertebral artery was tied by Dr. William Alexander. (Tlie case is referred to in Dr. Alexander’s book, “ The Treatment of Epilepsy,” p. 3, and is one of the 36 cases in which he performed the operation. In most of the cases he tied both vertebral arteries simultaneously.) History on Admission.—C. M., male, age 11. A congenital imbe- cile. Mother living (in Liverpool Workliouse). Father died from an accident. Mental deficiency first observed in childhood. Attri- buted to fright of mother during pregnancy. Has had scarlet fever, measles, and whooping cough. Nothing particular in his general aspect. No deformity. No sign of bone disease. No sign of paralysis or chorea. Complexion fair. Touch, smell, hearing, taste, hand, all normal. Speech fairly good. Sight, right pupil larger than left. Slight drooping of left eyelid. Teeth fairly regular and good. Palate normal. Heart sounds normal. Respiration normal. Large triangular scar at lower end of left sterno-mastoid. * The case has been for nearly eight years under the observation of Dr. Shuttleworth, to whom I am indebted for some of the following particulars, and whose kind permission I have to make use of the particulars recorded in the Case Books.