File:On epilepsy - anatomo-pathological and clinical notes (with original plates and engravings.) (1870) (14763398095).jpg

Identifier: onepilepsyanatom00eche (find matches)
Title: On epilepsy : anatomo-pathological and clinical notes (with original plates and engravings.)
Year: 1870 (1870s)
Authors: Echeverria, M. Gonzalez (Manuel Gonzalez)
Subjects: Epilepsy Epilepsy
Publisher: New York : W. Wood
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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th ptosis and paralysis of the left limbs.The antisyphilitic treatment with the iodide of potassium, proto-iodideof mercury, and cod liver oil, proved of no more avail than to removethe cutaneous accidents. The epileptic attacks continuing withtroublesome coughing, vomiting, and other nervous symptoms, theintellectual faculties gradually failed, and, running into a soporouscondition, the patient finally died in a fit, the 12th March, 1863.In the commencement, an aura starting from the fingers on the lefthand, preceded the paroxysms,but subsequently this warning ceased.During the fits the girl used to bite the tongue, and to froth consi-derably at the mouth. Autopsy.—Calvarium normal, vessels of the diploe very congested,meninges opaque. Serous effusion in the arachnoid cavity: thismembrane opalescent on the anterior part of the base of the brain.Right middle cerebral artery plugged by a firm, laminated, orange-tinted clot, adhering to the walls and causing aneurismal dilatation PMeV
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Ad riot, eop!^ Aneurism of the left middle cerebral artery. Chi-.Fr Mifller. CkromoUih:^ Carlsruk&. OF EPILEPSY. 73 of the vessel. A large surface of the anterior and middle lobes in thevicinity covered by a film of coagulated blood, and the gray matterunderneath, infiltrated and softened, without delimited boundarieswith the white substance somewhat yellowish in this region. Onsection the brain tissue looks rather wet, with two yellow patchesthe size of a hazel nut, in the right centrum ovale, near the corpusstriatum, and surrounded by softened tissue. Ventricles containingturbid serosity ; choroid plexus rough, covered by small, firm, yellowgranulations. These miliary bodies covered also the ependyma ofthe fourth ventricle, and the pia-mater over the medulla. Bothlungs with tuberculous deposits at the apex, extensive pleuriticadhesions on right side, with gray hepatization of the lower lobe.Heart natural, without any valvular lesion. The other viscerapresented nothing worthy of

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