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
W. P. a young man aged twenty-five, was admitted into the hospital
September 26, 1795. He had been disordered five months, and had
experienced a similar attack six years before. The disease was brought on
by excessive drinking. He was in a very furious state, in consequence of
which he was constantly confined. He got little or no sleep--during the
greater part of the night he was singing, or swearing, or holding
conversations with persons he imagined to be about him: sometimes he would
rattle the chain with which he was confined for several hours together,
and tore every thing to pieces within his reach. In the beginning of
November the violence of his disorder subsided for two or three days, but
afterwards returned; and on the 10th he died compleatly exhausted by his
exertions.--Upon opening the head the pericranium was found firmly
attached; the pia mater was inflamed, though not to any very considerable
degree; the tunica arachnoides in some places was slightly shot with
blood; the membranes of the brain, and its convolutions when these were
removed, were of a brown, or brownish straw colour. There was no water in
any of the cavities of the brain, nor any particular congestion of blood
in its substance--the consistence of which was natural. He was opened
twenty hours after death.
CASE VI.
B. H. was an incurable patient, who had been confined in the house from
the year 1788, and for some years before that time in a private madhouse.
He was about sixty years of age--had formerly been in the habit of
intoxicating himself. His character was strongly marked by pride,
irascibility, and malevolence. During the four last years of his life he
was confined for attempting to commit some violence on one of the officers
of the house. After this he was seldom heard to speak; yet he manifested
his evil disposition by every species of dumb insult. Latterly he grew
suspicious, and would sometimes tell the keeper that his victuals were
poisoned. About the beginning of December he was taken ill with a cough,
attended with copious expectoration. Being then asked respecting his
complaints, he said he had a violent pain across the stomach, which arose
from his navel string at his birth having been tied too short. He never
spoke afterwards, though frequently importuned to describe his
complaints. He died December 24, 1795.
Upon dividing the integuments of the head, the pericranium was found
scarcely to adhere to the scull. On the right parietal bone there was a
large blotch, as if the bone had been inflamed: there were others on
different parts of the bone, but considerably smaller. The glandulæ
Pacchioni were uncommonly large: the tunica arachnoides in many places
wanted the natural transparency of that membrane: there was a large
determination of blood to the substance of the brain: the ventricles
contained about three ounces of water; the consistence of the brain was
natural. He was opened two days after death.
CASE VII.
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