Nervous And Mental Diseases for Students And Practitioners

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Nervous And Mental Diseases for Students And Practitioners
Charles S Charles Sower Potts
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They consist of severe headache, vertigo, delirium, and sometimes convulsions; fever may or may not be present. It should be remembered that similar symptoms often precede the infectious diseases. If a collection of pus is formed which INTERNAL CEREBRAL PACHYMENINGITIS 211 makes pressure upon the motor cortex, there may be more or less pronounced paralysis upon the opposite side.
Prognosis. The acute form is serious; the chronic variety, while rebellious to treatment, need not necessarily cause
... death.
Treatment. At the outset antiphlogistic measures, as pur- gatives, cold to the head, wet cups at the back of the neck, and ergot, bromides, and mercurials internally, should be employed. If there is reason to suspect fracture or the pres- ence of pus, trephining is indicated. In the chronic forms, the use of potassium iodide and mercury, in full doses if syphilis is suspected, is indicated; and vigorous and pro- longed counterirritation at the back of the neck, preferably by lightly burning with the actual cautery.


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