Cook, John Parsons, -1855; Palmer, William, 1824-1856 -- Trials, litigation, etc.; Trials (Murder) -- England -- London
Mr. SAMUEL SOLLY, examined by Mr. WELSBY--I have been connected with St.
Thomas’s Hospital as lecturer and surgeon for twenty-eight years. I have
either seen or had under my care twenty cases of tetanus, all of which
were traumatic, except one, in which I was doubtful whether it was
traumatic or idiopathic. In the latter case the symptoms were slower in
their progress and generally rather milder. The shortest period I can
remember before the disease arrived at a point is thirty hours. The
difference between Mr. Cook’s attacks and the cases I have seen is that,
in my experience, there has been a marked expression of the
countenance--that is the first symptom; it is a sort of grin, and the
symptoms have always been continuous. The symptoms in Mr. Cook’s case
are not referable to either epilepsy or apoplexy, or any disease that I
ever witnessed.
Cross-examined by Mr. SERJEANT SHEE--A marked expression of the
countenance, a sort of grin, frequently occurs in all violent
convulsions, which assume, without being tetanus, a tetanic form and
appearance. They are not a numerous class. It is difficult to
distinguish between them and idiopathic tetanus in the onset, but not in
the progress. I heard the account given by Mr. Jones of the last few
moments before Mr. Cook died.
That he uttered a piercing shriek, fell back, and died, did he
not?--Yes.
The ATTORNEY-GENERAL--I beg your pardon; there was an interval.
Mr. SERJEANT SHEE--No, no; five or six minutes.
LORD CAMPBELL--He died very quietly.
Cross-examination resumed--I heard the description of the shriek with
the convulsion; but it was the shriek that called the medical man into
the room. That was at the height of the attack. In some respects that
last shriek and the paroxysm that occurred immediately afterwards bear a
resemblance to epilepsy. Death from tetanus accompanied with convulsions
seldom leaves any trace behind; but death from epilepsy leaves behind it
some few effusions of blood on the brain or congestion of the vessels.
[Sidenote: Samuel Solly]
Re-examined by the ATTORNEY-GENERAL--Convulsions that take place in
epilepsy are not at all of tetanic character. I say that Mr. Cook did
not die from epilepsy, because there were none of the symptoms there.
When a patient dies with epilepsy he dies perfectly unconscious.
Ulceration of the brain from injury, a sudden injury to the spinal cord,
irritation of the teeth in infants, all produce convulsions. But those
convulsions in their progress are not similar to the convulsions of
tetanus. There is no progressive movement and no appearance about the
face or jaw of having tetanus.
* * * * *
[Sidenote: R. Corbett]
Public-domain text, read in full here on John Shaqi.
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