Cook, John Parsons, -1855; Palmer, William, 1824-1856 -- Trials, litigation, etc.; Trials (Murder) -- England -- London
Dr. JOHN NATHAN BAINBRIDGE, examined by Mr. GROVE--I am a doctor of
medicine and medical officer to the St. Martin’s Workhouse. I have had
considerable experience of convulsive disorders. They admit of a very
great variety of symptoms. There are causes of them varying from what
are called chronic diseases to rigid opisthotonos. Hysterical
convulsions are very frequently accompanied with opisthotonos;
convulsions of the muscles of the back and of the limbs. The different
cases vary very much as to the frequency of the recurrences, and as to
the muscles attacked. Periodicity is very common, that is, occurring at
the same hour, the same day, and at an interval of a year. I have known
this very common at shorter periods, such as twelve or twenty-four
hours. These disorders run so imperceptibly one into the other that it
is almost impossible for the most experienced medical man to decide
where one kind of convulsion terminates and the other begins. Epileptic
attacks are frequently accompanied with tetanic complications, or
tetanic spasms.
Cross-examined by the ATTORNEY-GENERAL--Do hysterical convulsions ever
end in death without being attended by these tetanic symptoms?--Very
rarely indeed. I have known one case within the last three months.
Can you undertake to say that that was not a death by apoplexy?--No. The
symptoms were somewhat of the same character, but more of the character
of epilepsy. It would be very difficult for any man to define the
difference in some instances between hysteria and epilepsy.
[Sidenote: J. N. Bainbridge]
In fact, had not the man been subject to these fits for a long series
of years, and at last he died in one of them?--Yes, he had.
In attacks of this nature is there in the fits a loss of
consciousness?--Sometimes. I have seen several cases in which there has
been, and in others they can almost understand anything you say to them,
not perfectly perhaps, but you may rouse them.
Have you ever known an instance in which a man was able to speak when
the paroxysm has set in?--They will scream, and recollect what we have
said to them. I never knew any of them, in the actual violence of the
paroxysm, ask to have their position changed. Epilepsy, when it is very
bad, is sometimes attended with opisthotonos.
When the convulsions are so violent that opisthotonos is produced, have
you ever known patients conscious?--Partly conscious. If they were asked
subsequently they would recollect what had occurred. I have seen cases
of traumatic tetanus. As far as I have observed the patient always
retains his consciousness. I have frequently known epilepsy end in
death, and also hysteria with tetanic complications end in death.
Because you tell me you have known of hysteria ending in death, I wish
you to inform me what in your opinion is the distinction between
them?--The less consciousness more especially found in epilepsy, and the
sudden falling down.
Public-domain text, read in full here on John Shaqi.
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