Identifier: onepilepsyanatom00eche (find matches)
Title: On epilepsy : anatomo-pathological and clinical notes (with original plates and engravings.)
Year: 1870 (1870s)
Authors: Echeverria, M. Gonzalez (Manuel Gonzalez)
Subjects: Epilepsy Epilepsy
Publisher: New York : W. Wood
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ration ofthe brain and medulla. I saw, in consultation with Dr. Perry, of Brooklyn, a ship master,epileptic, who died the 11th March, 1866. Prof E. R. Peaslee,who had visited the patient in July of 1865, requested me toexamine the brain and medulla oblongata. As far as I recollect,the fits occurred within the week preceding Dr. Peaslees visit,attended with vertigo, temporary palsy, sometimes in one lowerextremity, sometimes in both, with neuralgia and most severe painin the head. The patient suffered from these attacks some yearsbefore, but they gradually became less and less frequent, until theyceased altogether. Chancres and inguinal adenitis had also occurredprevious to them, and the indications of constitutional syphilis wereevident in the skin. When I saw the patient, the fits recurred fre-quently every two or three days, preceded by neuralgia or violentheadache, and followed by paroxysms of wild excitement. I sus-pected the dura-mater, and most probably the brain, to be involved
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OP EPILEPSI. 69 by syphilitic deposits at the site of the pain in the head Theantisyphilitic treatment instituted by Dr. Perry, was kept up, rais-ing the doses of iodide of potassium, in combination with the bro-mide of potassium, belladonna and ergot, to allay pain and cerebralexcitement; but this proved equally unsuccessful. I received with the brain the dura-mater covering the upper sur-face of the hemispheres. The longitudinal sinus completely oblite-rated, and reduced to a firm fibrous tissue, like a tendinous ligamentfor the distance of three inches, remained partially pervious in itsposterior extremity, where concentrical layers closely filled out itscavity, thus indicating the manner in which the obstruction hadbeen efiected. This deposit was three-quarters of an inch long andhalf an inch thick. On the left side of the sinus, the dura-materwas the seat of patulous, soft, not vascular, yellow patches, overhungby an irregular border, Plate ll. This ulceration corresponded toa si

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