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Oratio Harveiana: In Aedibus Collegii Regalis Medicorum Habita, die Junii xxix, mdcccl

1850; BMJ; Volume: s2-2; Issue: 20 Linguagem: Inglês

10.1136/bmj.s2-2.20.733

0959-8138

A J. A. Wilson,

Byzantine Studies and History

aidexhibitid tat diased structure termed mammary sacoma.inner edge of the ilium, where the pain had existed so many months, was carefully exned, but there was no morbid appearance discoveraw ble. in the part-, or in the nerves leading to it.The thorax was not opened.REARis.This case is, I think, interesting, and worthy to be re- corded.It shows that the symptoms did not point to the true seat of disease, till a short time before the patient's death; and that exten- sive disorganization may be going on in the brain, without impairing its functions, or manifesting those signs by which it may be detected.The fretful and altered manner of the patient led to the apprehension that softening of the brain might be going on; but the total absence of pain in the head, and of rigors, or any indication of inflammatory action, rendered the diagnosis very difficult.It is highly probable, that the pain in the right side of the pelvis was occasioned by disease of the left side of the brain, and furnishes an additional instance to those recorded by Sir Henr Halford, where neuralgia was the effect of cerebral disorganiza- tion.When the latter disease had so far advanced as to disqualify tbe nerves from suffering so exquisitely, then the pain ceased.This case shows the importance of attending to the brain, in all long-continued 4tnd obscure neuralgic pains, although the functions of that organ may not be impaired.