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
Dropsy of the brain is usually divided into three stages. In the first,
continues our author, vascular excitement exists, as denoted by pain in
the head increasing in acuteness with the increase of the disease; and
in infants by a restless movement of the head upon the pillow, moaning,
occasional screamings, sickness, retching, impatience of light and
noise, contractions of the pupils, delirious terrors, &c. The second
stage is indicated by signs of pressure on the brain by effused fluid,
and by an absence of pain, excepting upon raising or moving the head,
convulsions, permanent dilatation of the pupils, squinting, blindness,
slow intermitting pulse, hemiplegia, and a peculiar placid expression of
the countenance, &c. The third stage is made up of some of these
symptoms, together with other ulterior ones which follow the vascular
reaction. On this subject, Dr. A. offers the following remarks:
"With respect, however, to the division thus formed of this
disease, it is, I think, somewhat questionable, whether it be
pathologically correct; for strictly speaking, the true disease
is comprised between the incipient beginnings of the
inflammation, and its termination by the effusion; since the
symptoms which follow, and compose what are called the second
and third stages, are little more than the consequences of the
disease, and arise from the mechanical pressure of the water
upon the brain. The progress, therefore, of what may be
strictly considered the disease, should perhaps be considered
as terminating with the occurrence of the effusion, which is
often remedial of the excitement causing it; and the whole
disorder, to be thus made up of two distinct states, the first
consisting of symptoms, which commencing with the excitement,
terminate with the serous discharge; whilst the second is
composed of those of a secondary kind, and which are wholly
dependent for their origin and continuance, on a mechanical
pressure from the effused fluid."
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