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
_Symptoms._ Premonitory indications of apoplexy are less commonly
recognized in the lower animals than in man, doubtless largely because
of the impossibility of appreciating subjective symptoms. The first
observed indications are usually dullness, some lack of coördination of
movement, swaying, unsteady gait, trembling and a tendency to deviate to
one side or to move in a circle. In the majority of cases, however, the
first symptoms noticed are a complete loss of consciousness or nearly
so, a sudden fall and often more or less convulsive movements of the
limbs aggravated by any excitement. The eyes remain dilated, the pupils
enlarged or sometimes contracted, and in case of unilateral effusion the
axis of vision of both eyes is turned to the affected side, right or
left. The pupil of one eye is likely to be more widely dilated than that
of the other. Rolling of the eyeballs is not uncommon. Convulsions may
occur, the head and hind limbs being drawn back forcibly as in
oposthotonos, or the animal may lie flaccid and comatose from the first.
The nasal, buccal and orbital mucous membranes are usually congested,
deep red or livid, yet sometimes they are anæmic and pale (Shock). The
breathing is usually characteristic, being deep, slow, labored,
irregular and stertorous and accompanied by puffing out of the cheeks at
each expiration (except in solipeds). Yet there are cases in which
stertor is absent. The pulse is usually slow, full and soft, and, in the
carotids, throbbing, but it may be weak and imperceptible. There may be
complete unconsciousness, and again from the first, or nearly so, there
may be a slight response to a stimulus, which cannot be referred
altogether to reflex action. In vomiting animals, emesis may ensue.
Stupor and coma are more or less marked, though liable to intermissions
under any cause of irritation.
Along with the above symptoms the spasms and sequent paralysis, are
significant. If confined to given muscles or groups of muscles
(monoplegia) it usually implies pressure on some special cortical
convolutions presiding over these muscles, and convulsions are to be
expected. If there is hemiplegia it is suggestive of implication of the
medulla or pons on the opposite side, or of a clot on the corpus
striatum or extensively on one side of the cerebrum. A clot in the
lateral ventricle tends to profound coma. So liable, however, is
pressure to be extended from one side of the brain to the other, and
irritation on the one side to rouse a corresponding condition on the
opposite side, or in related ganglia, that deductions of this kind
cannot always be implicitly relied on.
Though an animal should recover from an attack there is liable to remain
some modification of the nervous functions, partial anæsthesia,
circumscribed paresis, dullness, lack of energy, irritability, or
muscular atrophy.
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