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An Analysis of the Post-Mortem Appearances in 235 Insane Persons

Published online by Cambridge University Press:  19 February 2018

James C. Howden*
Affiliation:
Royal Lunatic Asylum, Montrose

Extract

Anyone who has attempted to work up statistical facts from a Pathological Record must have felt how much time and trouble were wasted in wading through case after case which had no connection whatever with the subject in hand.

Type
Part I.—Original Articles
Copyright
Copyright © Royal College of Psychiatrists, 1871 

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References

* I have to acknowledge the great aid I have received in compiling the index from Mr. W. G. Balfour, Assistant-Medical Officer.Google Scholar

* Rokitansky, speaking of infiltrated cancer deposits, says—“These advance from the brain to the membrane, and through them to the cranium.” (“Pathological Anatomy,” vol. iii., p. 431.)Google Scholar

Dr. Clouston says “Nerve-tissue seems to be almost exempt from tubercular deposition, for of the eight cases (recorded in the Pathological Record of the Royal Edinburgh Asylum) there were only two in which the tubercular deposition had not evidently commenced in the membranes.” (“Journal of Mental Science,” April, 1863.)Google Scholar

Dr. J. W. Ogle, referring to ten cases examined in St. George's Hospital, says—“I would observe on the exemption from anything like arachnitis in connection with the various growths—in no case was there any such complication attendant. Neither was there during life anything of the nature of mental imbecility, or any symptom of the various phases of insanity.” (“Journal of Mental Science,” July 1864, p. 229.) In Dr. Ogle's cases the tumours were seated in the central parts of the brain, and did not involve the convolutions.Google Scholar

* My experience does not corroborate Dr. Reynolds's statement that “although the epileptic convulsions are not rarely followed by profound coma, and a general appearance of apoplexy, it is exceedingly rare to find that actual cerebral hœmorrhage has occurred.” (Reynolds on Epilepsy, p. 225.)Google Scholar

* In Dr. Clouston's cases the per centages were respectively 44, 47, 65, and 65. (Op. Cit., p. 7.)Google Scholar

* The number of fatty kidneys is perhaps too large, and may include some entered “apparently fatty,” but that it would be considerable may be judged from the fact that during three years twelve patients were admitted with albuminuria.Google Scholar

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