ON THE TREATMENT OF SOME FORMS OF RHEUMATISM AND NEURALGIC AFFECTIONS

JohnTatum Banks
1856 The Lancet  
of the 38th Regiment, was the most sad. He arrived in the transport-ship Hansa, towards the end of July, 1855. He was wounded in the Crimea, but his wounds were nearly well, when he was attacked by the scourge of the war, dysentery. On his arrival in the dockyard he was moribund, and could not speak. When I saw him I was convinced he could not live an hour, but his friends naturally wished him to be brought on shore to more comfortable quarters. When he was brought on deck in a litter, his jaw
more » ... a litter, his jaw fell and his eyes turned upwards. The bystanders thought he was dead. With the aid of warm brandy he revived a little, and was then conveyed in a stretcher to lodgings in St. George's-square. It was a dreary, drizzling evening, and when he was carried into the sitting-room he was too far gone to be placed in bed. He was placed on the floor, in the stretcher in which he was conveyed from the ship, and he died in about half an hour afterwards, perfectly tranquil. Insanity.-Besides the corporeal diseases resulting from the war, mental aflliction was not wanting. Several cases of distress ing mania were admitted into this hospital from the Crimea, and some of the most violent character. In one case of raving madness, I was obliged to administer chloroform, and keep the lunatic under its influence for several hours, to tranquillize him. His roaring was heard throughout the hospital, on the ramparts, and on the neighbouring terrace. The strait-waistcoat was employed without effect, but the chloroform effectually calmed him, and he ultimately left the hospital in good bodily health, quiet and amenable. CASE 7.-Private James Micklethwaite, 34th Regiment, admitted July 13th, suffering from mania. No history of his case could be obtained, and the patient's reasoning faculties were obscured from the moment of his admission into this hospital until he expired. While he was in hospital he was in the habit, at night, of getting out of bed, and hiding him self under the beds of other patients. Skin cool, pulse slow, bowels regular, and he was very quiet in his habits. I made a post-mortem examination of his body, twenty-one hours after death.-External appearances: Body greatly emaciated; calvarium much thicker than natural.-Internal appearances: Dura mater strongly adherent to the skull, pale, and traversed in all directions by slightly congested veins. On detaching the dura mater from the brain, a small patch, about the size of a shilling, of soft, pulpy, medullary substance, was observed on the left hemisphere, over the lateral ventricle on that side. This morbid condition presented all the characters of " ramollissement. " The substance of the brain, when cut into, especially the medullary portion, was of a dull-white colour, and there was no trace of vascular injection perceptible. The pia mater appeared natural, but the sulci, between the convolutions, were traversed by congested veins, similar to those on the dura mater. There was no trace of pus in the substance of the brain. The ventricles contained less than the usual quantity of fluid, and looked pale. The choroid plexus, the corpora striata, and the optic thalami, presented a normal appearance. The general consistence of the brain, irrespective of the small portion where softening existed, was firm. The cerebellum presented no morbid appearance whatever.
doi:10.1016/s0140-6736(02)55512-4 fatcat:n7odrrwwmvc5feqcvrucpwc7nu