Synopsis of apoplexy and epilepsy, with observations on trachelismus, laryngismus, and tracheotomy; and the proposal for a hospital for epileptics / by Marshall Hall.

  • Hall, Marshall, 1790-1857.
Date:
1852
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Licence: Public Domain Mark

Credit: Synopsis of apoplexy and epilepsy, with observations on trachelismus, laryngismus, and tracheotomy; and the proposal for a hospital for epileptics / by Marshall Hall. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    effects of these in congestion of the brain, and, in their turn, the dire effects of this, depend. Life, mind, limb, are endangered. Tracheotomy affords the safety valve ! 278. T conclude, then, that this measure deserves a cautious trial,— first, in the paralytic laryngismus of simple or inorganic apoplexy and other comatose affections ; and secondly, in the spasmodic laryngismus which may occur in the first stage, and the paralytic laryngismus which may occur in the second or comatose stage of epilepsy. 279. In epilepsy, the heart is sometimes affected with violent pal- pitation ; sometimes so enfeebled as to lead to the syncopal forms of that malady. 280. Sometimes there are tracheal and bronchial rattles. 281. Sometimes the gastric and other secretions are abnormal. 282. I propose to illustrate all these views by careful experiment and observation. All depends on the Diagnosis. I intend to imitate diseases by inducing definite lesions in animals, thus producing pure Types of such diseases; then cautiously to observe every symptom and the effect of this heroic remedial measure: and I think I shall be more worthily employed in endeavouring to extend the boundaries of our Science and our Art, than in vain and vapid criticism and opposition. 283. Medicine will be much raised when disease is viewed by the light of physiology; and when we cease from detraction, learn to respect each other, and exemplify the well-known immortal words of the immortal Harvey. 284. I conclude this Postcript by adducing the following brief remarks from the second series of my “ Observations and Suggestions in Medicine,” published in 1846: 285. “A short time ago I carefully examined a case of hemiplegia. k 2