A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Science
A system of practical medicine. By American authors. Vol. 5 : $b Diseases of the nervous system
Medicine -- Practice
Briquet[18] reviews the various hypotheses which have been held as to
the pathological anatomy of hysteria, giving a valuable summary of the
autopsies upon supposed hysterical cases up to the time of the
publication of his treatise in 1859. About the sixteenth century,
Rislau, Diemerbroeck, and Th. Bonet sought to establish a relation
between lesions of the genital organs met with in the bodies of
hysterical women and the affection from which they suffered. About
1620, Ch. Lepois believed that he had established the existence of
certain alterations of the brain in cases of hysteria. Hochstetter and
Willis toward the beginning of the present century arrived at similar
conclusions. That researches into the state of the genital organs have
chiefly occupied those investigating hysteria is shown by the writings
of Pujol, Broussais, Lovyer-Villermay, and, above all, by those of
Piorry, Landouzy, Schutzenberger, and Duchesne-Duparc. Georget,
Brachet, Girard, Gendrin, Bouillaud, Forget, and Lelut, about the
fourth or fifth decades of the present century, made numerous
autopsies on those dying when hysterical phenomena were in full
activity, and concluded that the genital organs of these individuals
revealed nothing in particular. This, in brief, is also the conclusion
of Briquet. Jeanne d'Albret, the mother of Henry IV., who was all her
life subject to hysterical headache, had her brain examined after
death, but absolutely nothing was found. Vesalius made an autopsy with
equally negative results on a woman who died from strangulation in an
hysterical attack. Royer-Collard also found nothing in an old
hysteric. Briquet believed—and I fully accord with this view—that in
some of the cases of Ch. Lepois, Hochstetter, and Willis diseases such
as chronic meningitis were present with the hysteria. He concludes
that anatomy does not show anything positive as to the seat or nature
of hysteria, except the suspicion of a certain degree of congestion in
various parts of the brain.
[Footnote 18: _Op. cit._]
While, however, hysteria may not have a morbid anatomy, it, like every
other disease, has, in a correct sense, a pathology.
The ancients saw only the uterus when regarding hysteria. Hippocrates
described the hysterical paroxysm and its accompanying disorders under
the name of strangulation of the uterus. The ancients generally
supposed that the disease originated in the ascent of the uterus to
the diaphragm and throat. They believed that this accommodating organ
could wander at will throughout the body, doing all manner of
mischief. Hippocrates asserted that it was the origin of six hundred
evils and innumerable calamities.
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