Paramyoclonus multiplex : report of a new case, with further history of a case reported in 1896, which has since recovered / by F.W. Langdon.

  • Langdon, Frank Warren, 1852-1933.
Date:
[1902]
Catalogue details

Licence: In copyright

Credit: Paramyoclonus multiplex : report of a new case, with further history of a case reported in 1896, which has since recovered / by F.W. Langdon. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    doses was given every three hours, excepting during sleep. Also potassium iodide in 5 to 10 grain doses. Previous to her admission to the hospital, chloral and potas- sium bromide had been given in full doses, with the effect, ac- cording to the mother, who had been a professional nurse, of increasing the violence of the spasms. Feb. 21 to 26. During this period potassium iodide was continued, but Fowler’s solution of arsenic in increasing doses up to 12 drops was substituted for the hyoscine. On Feb. 22, the spasmodic contractions numbered 84 to the minute by two separate counts; were shock-like as usual, bilat- eral, but rather stronger in the left side; practically continuous except during sleep. Feb. 26. Spasms irregular in character; first a group of 7 to 10 contractions, rythmical and at the rate of about 60 to the minute; then a change to a group of 7 to 10, much quicker and more violent. Chiefly the glutei and erector spinae groups are involved. Mental condition good. Feb. 27 to March 1. During this period sulphonal in 10 grain doses was given every three hours excepting during sleep. She received about five doses daily. Note March 1, 5 P.M. (by writer). Individual shocks less frequent (32 to the minute). At intervals of one to three min- utes the shocks occur in groups of 7 or 8, very quickly repeat- ed ; then a pause, and a return to the slower rate of 30 or 32 to the minute. Then seven very rapid and violent shocks (some- times 14 or 15). Then a return to the 32-rate per minute. The nurse reports that this mode of grouping has been ob- served for three days. Patient is delirious, hnd talkative for the first time since her arrival, and complains of dizziness in head. Pulse ranging from 72 to 94. Sulphonal omitted March 1, and no antispasmodic reme- dies given for three days. March 3. Pulse 60, low tension, small volume. Spasms in groups of 8 to 15 shocks (rate about 60 to the minute). Be- tween these groups of shocks are intervals of freedom, varying from a half hour to an hour. Has been singing and elated much of the time; constructs doggerel. Seems good-humored and logical when questioned. Fluid extract cactus grandifiora in three-drop doses was ordered to improve the circulatory depression. March 5. Spasms as last noted, but with shorter intervals