Text book of veterinary medicine, Volume 3 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 3 (of 5)
Law, James
Veterinary medicine
From =eclampsia= it is not so easy to diagnose, but the line between
eclampsia and epilepsy has not been accurately drawn, and some have even
shown a disposition to drop eclampsia from medical nomenclature.
Eclampsia may be defined as general convulsions dependent on some
eccentric irritation, and which do not recur after such irritation has
been removed. This would remove from the category of epileptic attacks
the cases of convulsions in which the attacks were due to intestinal or
nasal parasites, dentition irritation, tumors pressing on nerves, canine
distemper and other infectious diseases. So far the distinction might be
made by the diagnosis of the particular disease on which the convulsions
depend. There remains however a class of cases in which the centric
nervous disorder on which the epileptic seizure depends is present, and
also the peripheral source of irritation (worms, etc.). In such a case
the presence of the worms or other eccentric source of irritation, even
if added to the fact that this was the immediate exciting cause of the
epileptic explosion, could not do away with the fact that the essential
conditions of epilepsy are permanently present in the nervous centres.
The difficulty therefore of making an accurate differential diagnosis,
resides largely in the impossibility of drawing a definite line of
pathological separation between eclampsia and epilepsy.
From =Vertigo= epilepsy is distinguished by the absence in the former of
marked spasmodic contractions. It is only in the milder forms of
epilepsy those in which the spasmodic action is so slight as to be
overlooked, that this disease can be confounded with vertigo.
From =Thrombosis= or =embolism= of the iliac or femoral arteries
epilepsy is easily distinguished by the absence of exercise as the
essential cause in the development of the latter. In thrombosis on the
other hand, the loss of control over the hind limbs is developed at will
by active motion (walking, trotting). In thrombosis too the absence of
pulsation at the fetlocks or at any point below the seat of obstruction
is conclusive.
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