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
_Treatment._ In slight cases of cerebral hyperæmia, it may be sufficient
to apply cold to the head with a stimulating fomentation to the limbs,
and an active purgative, with chloral or bromides. Ergot in full doses
has often an excellent effect.
In the more acute types of the disease, bleeding is the first and most
efficient measure. A full abstraction from the jugular will relieve the
vascular tension and relieve the circulation on the brain. It has been
counselled to avoid this when comatose symptoms have set in, and in some
prostrate conditions a large and rapid abstraction of blood may fatally
increase the prostration. In other cases, however, the less rapid
abstraction will improve at once the intracranial circulation and
nutrition, and solicit the reabsorption of the exudate which produces
sopor and coma.
A purgative is one of the most efficient derivatives, the determination
of an excess of blood to the bowels and of an abundant serous discharge
into their interior acting as a valuable depletion, and abstraction of
blood from the over-excited brain. At least a half more than the usual
dose must be given, and may be supplemented by an injection of glycerine
or a hypodermic exhibition of eserine. It is best to avoid too drastic
or irritant purgatives as the cerebral congestion may be aggravated by
the irritation, as it often is induced in severe indigestions. For the
horse, aloes and podophyllin, or for ruminants, omnivora and carnivora
castor oil may be resorted to.
The patient must be placed by himself in a dark, cool, well aired
building, and when able to resume feeding must receive an easily
digested, non-stimulating diet; for horses or cattle gruels, wheat bran
mashes, pulped roots, or green food; for dogs and pigs, gruels, mush or
milk.
Any sequent paralysis must be treated on general principles.
MENINGO—ENCEPHALITIS. STAGGERS.
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