The Stokes-Adams syndrome

Alfred R. Parsons
1906 Transactions of the Royal Academy of Medicine in Ireland  
Read in the Section of M:ediciue, December 8, 1.(t05.] AL!uOSI' eighb~ years have e]apsed smce Robert Adams• published ah artie]e en~it]ed "Cases of Diseases of ihe Heart, aceompanied with ]?atho]ogieal Observations."~ Among these cases is one whieh he saw in the year 1819 in eonsu'ltation with ~r. Duggan, who was the ordinary medical at-tendant. The pa.tient was a revenue officer. sixty-eight years of age, who had been ~or a ]ong time ineapable of any exertion, as he was subjeet to
more » ... jeet to oppressi()i~ of bis breathing and eough. Mr. Duggan had attended this patient for sevel~ years, a, nd during fhis period h.e had seen hito in no{ less than twenty apopleetic attaeks.. Each attaek was~~:preeeded by heaviness and ]ethargy. During the attaek, whieh was always sudden in onset, thepatient was eomp]etely unconscious, the pu]se was very slow, and the breathing stertorous. The agtaeks were n.ever fo]lowed by any para]ysis. Adams saw the patiel~t a few days after one of these attacks, and he was impressed ehiefly by the irregu]arity of the breathing al~d the remarkab/e s]owness of ~he pu]se, which generat]y ra.nged at the tate of 30' in a minute, Some six mo~lths ]ater the patienf was seized with another of Ÿ hese. apoplectie attacks, which terminated fatally in two hours. The autopsy diselosed no evidente of any cerebral' hmmorrhage of either recent or remote oecurrenee. "The eoats of the carotid and midd]e arterles of the dura mafer were quite white and opaque from bony del)osition, lmt were
doi:10.1007/bf03171452 fatcat:5kfeofpc6fd4zafzf34cvi6nz4