ENCEPHALOID TUMOUR DEVELOPED OVER AND IN THE PAROTID GLAND; DEATH; AUTOPSY

103 the subcutaneous cellular tissue.-Cranium:The dura mater of Books. Reviews and adherent to the bones than is natural; in other and substance of the the membranes brain were respects healthy.—Neck: On the right side of the neck, just below Recherches Cliniques sur les Eazuc Bonnes. Par EDOUARD the body of the jaw, was a small aperture leading into a large CAZENAVE, Docteur en Medecine de la Faculté de Paris, &c. sloughing cavity, full of offensive, purulent fluid, and implica8vo. pp. 105. the of On into the the parotid gland. ting margin cutting latter, a small mass of encephaloid deposit was seen infiltrated THAT there is "nothing like leather" holds good with relation into its tissue. The whole chain of the cervical glands on the to authors as well as defenders of besieged towns. Whether right side of the neck was distended with a similar deposit, the object of the writer be to recommend a particular kind of some of them being solid, whilst others were softened and or a for of disease, he fails the cure medicine, broken down in their interior. Three cysts were also found on particular locality this side of the neck, one to the right of the thyroid gland, and not to give it his unqualified praise. Making allowance for tenacious fluid. The much exaggeration, there is still a good deal of valuable matter two others aboveit, filled with a glands on the left side were healthy. No malignant deposit in Dr. Cazenave’s ba-ochure, which conta,ins an account of the -was found, either in the chest or abdomen, the viscera being physiological action of the Bonnes waters on the healthy, and quite sound, excepting a certain amount of congestion. of their therapeutical application to the diseased. Under the former head we are informed of a peculiar and specific power ENCEPHALOID TUMOUR DEVELOPED OVER AND IN THE PAROTID these waters are said to possess, in causing, after a few days’ GLAND; DEATH; AUTOPSY. use, a state of active congestion of the cerian mucous membrane (Under the care of Mr. TATUM.) and fauces, with a sense of heat and constriction in the same W. C-, aged forty years, was admitted May 31st, 1854, on parts. The circulation is quickened, and the digestive functions account of a swelling on the right side of the neck, which had are performed with increased activity; the urinary and other been growing, according to his account, for about four months. secretions become more abundant, while at the same time the It was difficult to make out the exact limits of the tumour, nervous is much excited, with a degree of restlessness system from base of the which seemed to extend about the jaw nearly to the root of the neck; the deeper parts of the tumour and sleeplessness, and the intellectual faculties become more appeared to be solid and rather resisting; but superficial to active and exalted in their energies. These effects are very this was a large quantity of fluid, which presented very transient, and they leave the patient commonly in very improved distinct fluctuation a little above the thyroid cartilage on the health, particularly if there have been any chronic disorder right side. of the air passages, such as aphonia, chronic bronchitis, asthma, The man’s appearance was cachectic, but not remarkably so; he complained of weakness, and said that he had been falling incipient phthisis, &c. The climate of the Eaux Bonnes must be very favourable to away both in flesh and strength since the development of the had no other distinct ailment. .disease, but many of these pulmonary diseases, protected as this locality is He was ordered good diet, bark, and iodide of potassium, from high winds by the elevated ridges of the Pyrenees; and, as the disease was suspected to be malignant, it was situated 790 metres above the level of the sea, it possesses a thought better not to interferetoo much with it. A few days after admission, the skin at the most prominent calm, soft atmosphere, with a remarkably steady temperature. fluctuating point gaveway; on this opening being a little The waters belong to the class of thermal hydrosulphureted enlarged, a considerable quantity of bloody serum escaped, and alkaline. We subjoin the analysis of M. Ossian -Henry :through the wound during the remainder of %he patient’s life. Ee was observed to get weaker for the next fortnight, and some wine was therefore allowed, although no distinct ailment - could be made out. In a few days this weakness had so far increased, that the man took to his bed. On the twenty-fifth day, symptoms came on which were conjectured to arise from poisoned blood circulating through the brain-viz., frequent twitchings of the muscles of both lower and upper extremities, ’a semi-comatose condition, from which he could be roused only occasionally to answer questions, and low delirium. The pulse was very weak and frequent, and the bowels acted unconsciously. Diffusible stimulants and tonics were ordered, and he could swallow what was presented to him, but his condition The twitehings became more frequent and never improved. violent, amounting at length almost to convulsions. The man There is also sulphuret of sodium, and iodine and bromine became listless and insensible, and, after lingering for three have also been discovered. days, died exhausted, on the twenty-ninth day after admission. Post-mMte1n examination, pnf01’med, eighteen hours after Female PhysioLoryy; a Treatise of the Diseases of Women, their death, by Mr. &RA!*.—Body well formed and very muscular. Causes, Symptoms, and Ofeans of Cure: with Hints on the There was a small sloughy opening about the centre of the Management of Health during Pregnancy and in the Lyingneck, of irregular form, leading into a large sloughy cavity, in room, &c.,forming a complete Ladie8’ Guide. Illustrated full of dark-coloured putrid pus, and extending beneath with fifty engravings on steel. By THOMAS JAMES STURT, .the centre of the sterno-mastoid muscle as high as the Doctor of Medicine of the University of London; Member central portion of the parotid gland. The lower part of of the Royal College of Surgeons, England; Licentiate of the gland was lying in the cavity, and was infiltrated with the Apothecaries’ Hall; Associate of King’s College, London ; a plastic deposit, Accoucheur to the West London Lying-in Institution; Surprobably of the tumour previously occupying this locality. At the back part of the sloughy geon to the Dispensary for Consumption, Margaret-street; recess were found lying the large cervical vessels, the common I Fellow of the Medical and Microscopical Societies of London, carotid and its bifurcation, and the external carotid, both &c. &c. London: James Gilbert, Paternoster-row, and of covered with portions of the sloughing mass, but pervious all Booksellers; also by post from the Author, 57, Margaretthroughout. Not so the internal jugular vein, for this vessel, street, Cavendish-square. Price 2s. 6d.by post, 3s. 1854. for about two inches of its central part, had entirely IT has fallen to our lot to be obliged to review many absurd, =sloughed away; the two ends of the vessel being blocked up by masses of lymph, as far as its junction with the subclavian and some indecent books, but we can safely assert, that we vein. Some of the cervical glands on both sides of the neck have never yet had to notice a more objectionable work, taken contained masses of calcareous matter; on the right side others altogether, from the pen of a qualified practitioner, than the were filled with a soft pulpy substance of new formation, appatitle page forms the heading of this article, and volume rently a fibrinoid deposit, not malignant. No encephaloid to whichwhose That the whole tendency we beg particular attention. growth was found in any of the splanchnic cavities, the viscera of the work is obscene, must be apparent, when it is rememof which were in a tolerably healthy condition.

Notices

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