. A practical treatise on medical diagnosis for students and physicians . ransverse section through the right hemisphere: 1, cortex; 2, white substance;3, internal capsule; 4, optic thalamus; 5, lenticular nucleus; 6, part of the lateral sinus. (After DEJERINE.) of the attack and those of the post-apoplectic stage. The symptoms ofthe attack consist of prodromata—that is, headache, tendency to vertigo,a sense of fulness in the head, roaring in the ears, and perhaps somethickness of speech. These may pass off without further disturbance ormay lead directly to an attack. The latter is usually cha
. A practical treatise on medical diagnosis for students and physicians . ransverse section through the right hemisphere: 1, cortex; 2, white substance;3, internal capsule; 4, optic thalamus; 5, lenticular nucleus; 6, part of the lateral sinus. (After DEJERINE.) of the attack and those of the post-apoplectic stage. The symptoms ofthe attack consist of prodromata—that is, headache, tendency to vertigo,a sense of fulness in the head, roaring in the ears, and perhaps somethickness of speech. These may pass off without further disturbance ormay lead directly to an attack. The latter is usually characterized by 1170 DISEASES OF THE NERVOUS SYSTEM. the sudden occurrence of complete unconsciousness. The patient falls tothe ground, and there is at first a temporary pallor. This is succeededby flushing of the face, which may become almost purple. The pulseis full, bounding, and compressed with difficulty. The blood-pressureis greatly increased. The breathing is stertorous, slow, and occasionallyof the Cheyne-Stokes type; the pupils are usually contracted and often. 4-A4 Horizontal section through the right hemisphere; 1, cortex; 2, white substance; 3, internalcapsule ; 4, optic thalamus ; 5, lenticular nucleus; 6a, anterior horn, and 66, posterior horn of thelateral ventricle. (After Dejerine.) unequal. Often there is vomiting or involuntary micturition or defe-cation. The limbs remain completely paralyzed, or in some cases thereare unilateral convulsions. If, as is commonly the case, the hemor-rhage has involved the motor tract, there is complete flaccid paralysisof one side, with lost reflexes. If death does not occur in the course ofthe first twenty-four hours, the patient usually begins to show signs of CEREBRAL EMBOLISM AND THROMBOSIS. 1171 consciousness, and may be aroused from his comatose condition by sharpquestioning. He then may pass into a still more deeply comatose con-dition, with rise of temperature, followed by death, or there may be nofurther indications of
Size: 1094px × 2284px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookidpracticaltre, bookyear1904
