A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy — John Shaqi
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
The symptoms accompanying softening of the brain, present a considerable
variation. Among the more prominent, may be mentioned an unsteady or
tottering gait, partial palsy, thick and inarticulate speech, feeble
memory, disordered intellect, dull pain or heaviness in the head,
frequent drowsiness, formication, numbness or rigidity, or occasional
involuntary contraction of the muscles of the upper extremities.
=Abscess= of the brain, differs from softening, to which it may have
some points of resemblance, in the purulent matter being contained in an
irregular cavity, lined with a more or less distinct membranous cyst.
Flakes of lymph are frequently found in these abscesses, giving the
matter much the appearance of that contained in scrofulous abscesses,
and they are most commonly found in subjects who present the usual
symptoms of the strumous diathesis.
While these collections are unquestionably often the result of
inflammation, yet it has been claimed that they may result from previous
disease of a suppurative character in the lungs, and perhaps other
organs, the purulent matter being taken up by the veins and carried into
the general circulation, and finally deposited in the substance of the
brain. Abscesses may be found in any portion of the brain substance, or
the purulent accumulation may be found between the bone and dura mater,
or between the two layers of the arachnoid. In the latter cases, the
disease may generally be traced to caries of some of the bones of the
head, as of the petrous or mastoid portions of the temporal, or of the
bones of the nasal cavity, involving the cribriform portion of the
ethmoid.
Again, abscesses in the brain may result from external violence, as from
a blow or fall upon the head. It is remarkable, that in these cases,
some months may elapse between the date of the injury and death.
=Hardening.= Induration of the cerebral substance, is a condition not
readily distinguished during life from that of softening, the two states
being accompanied by symptoms of a similar character. Dr. Jones, who has
charge of the male department of the Pennsylvania Hospital for the
Insane, and has had many opportunities for examining the brains of
insane patients, tells me that he found hardening, nearly as frequently
as softening, in these cases, and never could tell beforehand, with
certainty, which condition might be present.
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