Observations on Insanity: With Practical Remarks on the Disease and an Account of the Morbid Appearances on DissectionHaslam, John
Science
Observations on Insanity: With Practical Remarks on the Disease and an Account of the Morbid Appearances on Dissection
Haslam, John
Mental illness
G. H. a man twenty-six years of age, was received into the hospital July
18th, 1795. It was stated that he had been disordered six weeks previous
to his admission, and that he had never had any former attack. He had been
a drummer with a recruiting party, and had been for some time in the habit
of constant intoxication, which was assigned as the cause of his insanity.
He continued in a violent and raving state about a month, during the whole
of which time he got little or no sleep. He had no knowledge of his
situation but supposed himself with the regiment, and was frequently under
great anxiety and alarm for the loss of his drum, which he imagined had
been stolen and sold. The medicines which were given to him he conceived
were spirituous liquors, and swallowed them with avidity. At the
expiration of a month, he was very weak and reduced; his legs became
oedematous--his pupils were much diminished. He now believed himself a
child, called upon the people about him as his playfellows, and appeared
to recall the scenes of early life with facility and correctness. Within
a few days of his decease he only muttered to himself. August 26th, he
died. He was opened six hours after death. The pericranium was loosely
adherent. The tunica arachnoides had generally lost its transparency, and
was considerably thickened. The veins of the pia mater were loaded with
blood, and in many places seemed to contain air. There was a considerable
quantity of water between the membranes, and as nearly as could be
ascertained about four ounces in the ventricles, in the cavity of which,
the veins appeared remarkably turgid. The consistence of the brain was
more than usually firm.
CASE IV.
E. M. a woman, aged sixty, was admitted into the house, August 8th, 1795;
she had been disordered five months; the cause assigned was extreme
grief, in consequence of the loss of her only daughter. She was very
miserable and restless; conceived she had been accused of some horrid
crime, for which she apprehended she should be burned alive. When any
persons entered her room she supposed them officers of justice, who were
about to drag her to some cruel punishment. She was frequently violent,
and would strike and bite those who came near her. Upon the idea that she
should shortly be put to death, she refused all sustenance; and it became
necessary to force her to take it. In this state she continued, growing
daily weaker and more emaciated, until October 3d, when she died.
Upon opening the head there was a copious determination of blood to the
whole contents of the cranium. The pia mater was considerably inflamed;
there was not any water either in the ventricles or between the
membranes. The brain was particularly soft. She was opened thirty hours
after death.
CASE V.
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