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._ The symptoms of uncomplicated meningitis on the one hand and
encephalitis on the other are rarely seen, the disease usually
implicating more or less both brain and meninges, in a common
inflammation or the symptoms of the one involving those of the other
through proximity or interdependence of function. And yet in traumatic
lesions of the cranial walls, the symptoms may be those of pure
meningitis, and in thrombosis, embolism or parasitism of the brain, and
in certain tumors they may be those of simple encephalitis. The
distinction consists largely in the predominance of fever,
hyperæsthesia, active delirium and convulsions in _meningitis_, and
especially in its earlier stages; and the prominence of dullness,
stupor, somnolence, muscular weakness, paralysis, anæsthesia, coma, and
the clouding of special senses, with much less pronounced febrile
reaction, or vascular excitement in _encephalitis._
There is usually, however, a mixing of symptoms so that the benumbing or
paralysis of the nervous functions alternates with periods of their
exaltation, and with both conditions hyperthermia exists, though usually
higher with meningitis.
The manifestations of benumbing or paresis may be continuous or
interrupted, and are exhibited in stupor, coma, somnolence, lethargy,
paresis or paralysis. The manifestations of excitement are not
continuous but occur in paroxysms or at least exacerbations, which may
show in visual or mental illusions, active, violent delirium, trembling,
rigors, clonic or tonic spasms. The onset is usually abrupt, the animal
passing in a few hours from apparent health, to pronounced nervous
disorder. The horse seems drowsy and stupid, standing with semi-closed
eyes, often drooping lower lip and ears, head pendent and resting in the
manger or against the wall in front, the back arched and the limbs drawn
together. When moved, it walks unsteadily and often the limbs are left
out of plumb, one extending unduly forward, backward or to one side, and
often crossing over its fellow. Some cannot be made to back, others back
spontaneously hanging on the halter. Turning short in a circle is
difficult or impossible and tends to throw the patient down. Yet some
exceptional cases will turn around spontaneously to the right or left,
and an animal tied to a post goes around it at the end of its halter in
its effort to pass straight forward. The circling movement may be due to
the irritation on the one side of the brain or to irritation of
particular ganglia and nervous tracts as noticed under cerebral
hyperæmia.
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