A Case of Partial Amnesia, in Which the Memory for Proper Names Was Lost

1834 Boston Medical and Surgical Journal  
Necrosis.-The first patient had gangrene of the foot with necrosis. M. Guerbois gave some common-place generalities on gangrene, caries, and necrosis, and described their causes and treatment, every now and then recurring to his patient, and repeating each proposition laid down, at least twice. Gunshot Wounds.-The second patient was a young man, 25 years of age, who had shot himself with a pistol, in consequence of some disappointment in love. The ball remained embedded in the superior
more » ... e superior maxillary bone ; excessive inflammation with suppuration came on, &c. He spoke of gunshot wounds in general, the accidents which supervene, purulent absorption, tetanus, &c. This subject was treated by the speaker moderately well, and he succeeded in filling up his time of an hour, without any of the repetitions which disfigured his lecture during the former trial. On the 18th of January last (1834), a citizen of Louisville, Mr. C. Vansant, aged 45, a saddler hy trade, called upon me for advice. During the war of 1812-14, he was in service, in the neighborhood of Baltimore, and when engaged with the enemy, a musket hull passed along hy his left ear and temple, so close as lo graze his skin. It in some degree affected his senses, and gave him pain about the ear, both of which ceased after a few months. He was subsequently afflicted with long attacks of rheumatism in his limbs ; but in latter years has been exempt. About twenty months ago, eighteen years after the accident, he was seized anew with pain in the temple, and around the ear of the injured side, which has continued ever since, both night and day, but is generally worse at night. Its focus is the hollow of the temple, between the ear and the eyebrow. It abates at irregular times, but returns in shooting paroxysms ; and is particularly excited by locomotion, speaking, pressure on that spot, and pulling ihe hair near it. Perfect rest he finds most favorable to ease. In the left ear he has a constant roaring, and the meatus externus is foul ; the left eye is watery ; he closes it a great deal ; he sometimes has pain in it : the sight of both is weak, and their motions unsteady. He has no tenderness of the spine. About the first of the preceding September (1833), he had twelve "fits " (epileptic ?) between 7 and 11 o'clock at night. He frothed at the mouth, and was in a stale of stupor between them-which continued for two days after they ceased. Since that time, he has had two paroxysms. In regard to pain, he has been neatly in the same condition since the attack of epilepsy as before. Every time I felt his pulse but one, it was so temperate as not to vary much from a natural condition. His bowels are generally regular. His complexion pallid, and his expression of countenance languid. An uncommon but not unprecedented mental effect has followed on
doi:10.1056/nejm183412240112003 fatcat:5mryc7vhf5dmxlghyakg4kipci