. On epilepsy : anatomo-pathological and clinical notes (with original plates and engravings.) . still another patient, the offspring of con-sanguineous marriage between first cousins. Para-lytic and cardiac symptoms coincided in five of theabove fourteen cases—namely, one with general pa- 278 STATE OF CIRCULATIOlSr jalysis, one with right hemiplegia, and three with lefthemiplegia. I shall not speculate on the agency thatdisease of the heart might have exerted on the devel-opment of paralysis in each of these instances, becauseon no occasion have the facts manifested, directly orindirectly, an
. On epilepsy : anatomo-pathological and clinical notes (with original plates and engravings.) . still another patient, the offspring of con-sanguineous marriage between first cousins. Para-lytic and cardiac symptoms coincided in five of theabove fourteen cases—namely, one with general pa- 278 STATE OF CIRCULATIOlSr jalysis, one with right hemiplegia, and three with lefthemiplegia. I shall not speculate on the agency thatdisease of the heart might have exerted on the devel-opment of paralysis in each of these instances, becauseon no occasion have the facts manifested, directly orindirectly, any close association. A glance at the Synoptic Tables in Chapter convince us of the depressed state of circulationand feeble condition of the pulse, which, taking theaverage of epileptic cases under my care, has rangedabove the normal frequency. Different tracings ob-tained with the sphygmograph lead me to assert—thatthere is an increased develo23ment with accelerationand marked dicrotism of the pulse prior to and forsome time after the epileptic attacks, whereas the Fig. 1. Figs. 5 and 6. IN EPILEPSY. 279 arterial tension and frequency of the beatings, wliichalso become irregular, decrease during and imme-diately after the paroxysm. The first of these condi-tions may be discovered from two to six minutes beforethe outbreak of the fit, while it may persist for twoor three hours after cessation of the spasms, as indi-cated by the repeated observations I have made onthe subject. Fig. 1 shows the tracing of the normalpulse in a male epileptic aged 32. Fig. 2, the tra-cings about two minutes before a fit. Figs. 3 and 4,the pulse during the stage of coma, and Figs. 5 and 6,the pulse when the patient had partially recoveredconsciousness, about ten or fifteen minutes subsequentto the fit. The sphygmograph I have employed isthat of E. Groiix, with a very ingenious clock-move-ment to obtain the tracings. An important phenomenon in regard to respirationin epilej)sy, whi
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectepilepsy, bookyear187
