Cook, John Parsons, -1855; Palmer, William, 1824-1856 -- Trials, litigation, etc.; Trials (Murder) -- England -- London
Gentlemen, I am instructed--I shall be able to show--by eminent men that
what I am about to read from Dr. Copland’s book, as part of my speech,
is a true description of convulsions that are not idiopathic or
traumatic, but of a general kind. He first gives the definition of
“general convulsions,” which he says are “violent and involuntary
contractions of a part or of the whole of the body, sometimes with
rigidity and tension (tonic convulsions), but more frequently with
tumultuous agitations, consisting of alternating shocks (clonic
convulsions), that come on suddenly, either in recurring or in distinct
paroxysms, and after irregular and uncertain intervals.” We will see
what he says about it--“If we take the character of the spasm in respect
of permanency, rigidity, relaxation, and recurrence as a basis of
arrangement of all the diseases by abnormal action of involuntary
muscles, we shall have every grade, passing imperceptibly from the most
acute form of tetanus through cramp, epilepsy, eclompsia, convulsions,
&c., down to the most atonic states of chorea and tremor. Also if we
consider the affections called convulsions, and which are usually
irregular in their forms, with reference to the character of the
abnormal contraction of the muscles, we shall see it in some cases of
the most violent and spastic nature, frequently of some continuance, the
relaxations being of brief duration, or scarcely observable, and in
others nearly or altogether approaching to tetanic. These constitute the
more tonic form of convulsions, from which there is every possible
grade, down to the atonic or most clonic observed in chorea or tremor.
The premonitory signs of general convulsions are, _inter alia_, vertigo
and dizziness, irritability of temper, flushings or alternate flushing
and paleness of the face, nausea, retching or vomiting, or pain and
distension of the stomach or left hypochondrium, unusual flatulence of
the stomach and bowels, and other dyspeptic symptoms. In many instances
the general sensibility and consciousness are but very slightly
impaired, particularly in the more simple cases, and when the proximate
cause is not seated in the encephalon; but in proportion as this part is
affected primarily or consecutively, and the neck and face tumid and
livid, the cerebral functions are obscured, and the convulsions attended
by stupor, delirium, &c., or pass into or are followed by these states.
The paroxysm may cease in a few moments, or minutes, or continue for
some or even many hours. It generally subsides rapidly, the patient
experiencing at its termination fatigue, headache, or stupor, but he is
usually restored in a short time to the same state as before the
seizure, which is liable to recur in a person once affected, but at
uncertain intervals. After repeated attacks the fit sometimes becomes
periodic (the convulsio recurrens of authors). The most common causes
are, _inter alia_, all emotions of the mind which excite the nervous
Public-domain text, read in full here on John Shaqi.
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