Paresis of this centre does not play as important a part here as it does
in India, more especially after cobra-bite. The peculiar, and as yet
unexplained, tendency of snake-poison to act with special virulence on
some centres, passing others by comparatively little disturbed, is
markedly shown by the cobra poison of India as compared with that of our
Australian cobra (_hoplocephalus curtus._) The unfortunate victims of
the former are tortured by an ever-increasing dyspnoca, and finally die
from asphyxia, under what are supposed to be carbonic acid convulsions.
They retain their consciousness more or less unclouded to the last, the
poison spending all its force on the respiratory centre, and leaving the
brain intact. Here we hardly ever see actual dyspnoca after the bite of
hoplocephalus or any other Australian snake. Respiration becomes quicker
at an early stage, and then, from hour to hour, shallower; but our
patients soon pass from sleep into coma, and suffer no respiratory
distress even when, in consequence of general paralysis, the respiratory
muscles cease to act, which usually takes place a few minutes before the
heart stands still.
Feoktistow records the following observations on cats with reference to
the respiratory centre:--Small intravenous injections of the fresh
poison (0.07-0.13 mllgr.) produced a great increase in frequency of
respirations (280-360 per minute). Section of both vagi at once reduced
this frequency, from which he infers that small doses act as an irritant
to the respiratory centre. When small doses were repeated several times,
the respiratory movements were gradually retarded, and asphyxia set in
through paralysis of the centre. Large doses produced this effect at
once, without any previous acceleration. Very large ones paralysed
respiration, heart, and vaso-motors almost simultaneously, and caused
the blood pressure to fall to 0. By the kymograph respirations were
found to become shallower in proportion to their frequency. As the
latter was reduced, they became at first deeper, but ere long shallower
again, and were occasionally interrupted by spasmodic inspirations.
Artificial respiration prolonged life for a short time only.
C.--Action on Centres of Cranial Nerves.
Among the symptoms denoting paresis of motor-centres of cranial nerves,
together with sympathetic ganglia, the first and most noteworthy is the
early dilatation of the pupil. This truly pathognomic condition is never
absent, and becomes intense when paresis becomes intensified into
paralysis. The most glaring light, in immediate proximity to the
eyeball, has then no effect whatever on the pupil. If it remains dilated
after strychnine injections have restored consciousness and the power to
walk, it is a sure sign that the snake-poison is not completely
counteracted, and will in all probability re-assert itself,
necessitating another injection, whilst a pupil restored to its normal
condition justifies the conclusion that the patient is safe.
Public-domain text, read in full here on John Shaqi.
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