North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
After offering so copious an analysis of Dr. AYRE'S sentiments
respecting the pathology of dropsy, it is unnecessary to enlarge very
fully on the application of his theory to the particular forms of that
disease. We shall, however, offer a rapid review, of some of his
opinions, and next detail the method of treatment he proposes for the
cure of these dangerous maladies. We commence with hydrocephalus, which
he remarks has been divided into an acute and chronic form. This
division, our author thinks, is correct in a certain sense; for the
disease varies much in duration,--running its course, sometimes in a few
days; and at other times continuing several weeks. Yet, he continues,
the terms acute and chronic must be understood as restricted to that
particular form of inflammation producing a serous effusion, and not as
denoting the highest and lowest degrees of common inflammation. It is
from the want of this distinction that much confusion has arisen in our
speculations relative to the pathology of hydrocephalus.
Dr. AYRE calls our attention to the fact, that the forms of
hydrocephalus denominated by Dr. GOLIS hyperacute and acute, do not
differ from the sub-acute phrenitis of nosologists, in which pus and
coagulable lymph are the proper products, with sometimes a serous
effusion into the ventricles as an accidental effect; all of which forms
of inflammation, the serous membranes of the brain, and of other
cavities are liable to take on; and adds:
"Now, the true hydrocephalus internus stands distinguished from
these, in the nature of the inflammation of which it consists,
in the same way, precisely, that the serous inflammation of the
pleura, producing simple hydrothorax, is distinct from that
higher degree of vascular excitement, which occasions an
effusion of pus or lymph. Relatively to these, therefore, the
disease is in a chronic form; and consists, we may repeat, of
that lowest degree of inflammation to which serous membranes
are subject, and the effect of which is to increase the natural
secretion of the part, so as to cause, in regard to the brain,
an accumulation of that fluid in its cavities."
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