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
On January 14, 1796, she had an apoplectic fit, well marked by stertor,
loss of voluntary motion, and insensibility to stimuli. On the following
day she died. She was opened two days after death. There was a remarkable
accumulation of blood in the veins of the dura and pia mater; the
substance of the brain was loaded with blood. When the medullary
substance was cut into blood oozed from it; and upon squeezing it a
greater quantity could be forced out. On the pia mater covering the right
lobe of the cerebrum, were some slight extravasations of blood. The
ventricles contained no water; on the plexus choroides were some vesicles
of the size of coriander-seeds, filled with a yellow fluid. The
pericranium adhered firmly to the scull. The consistence of the brain was
firmer than usual.
CASE IX.
E. D. a woman aged thirty-six, was admitted into the hospital February 20,
1795: she had then been disordered four months. Her insanity came on a few
days after having been delivered. She had also laboured under a similar
attack seven years before, which, like the present, supervened upon the
birth of a child. Under the impression that she ought to be hanged, she
destroyed her infant, with the view of meeting with that punishment. When
she came into the house, she was very sensible of the crime she had
committed, and felt the most poignant affliction for the act. For about a
month she continued to amend: after which time she became more thoughtful,
and frequently spoke about the child: great anxiety and restlessness
succeeded. In this state she remained until April 23, when her tongue
became thickly furred, the skin parched, her eyes inflamed and glassy, and
her pulse quick. She now talked incoherently; and, towards the evening,
merely muttered to herself. She died on the following day comatose.
She was opened about twenty-four hours after death. The scull was thick,
the pericranium scarcely adhered to the bone, the dura mater was also but
slightly attached to its internal surface. There was a large quantity of
water between the dura mater and tunica arachnoidea; this latter membrane
was much thickened, and was of a milky white appearance. Between the
tunica arachnoidea and pia mater, there was a considerable accumulation of
water. The veins of the pia mater were particularly turgid. About three
ounces of water were contained in the lateral ventricles: the veins of the
membrane lining these cavities were remarkably large and turgid with
blood. When the medullary substance of the cerebrum and cerebellum was cut
into, there appeared a great number of bloody points. The brain was of its
natural consistence.
CASE X.
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