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PARALYSIS OF ONE SIDE OF THE FACE.
711 the draught occasioned by the open and the comparative a stage coach. of crassamentum and serum window Yours very respectfully, have especially been considered as an inWM. RAYNER, M.R.C.S. dex of the existence of inflammation, and of the propriety of blood-letting. Bury, Lancashire, Jan. 21, 1834. ance
of a
buffy coat,
to
quantities
of
Whilst all these circumstances are menCASE.—Jan. 11th, 1824, I was aroused must at the same time repeat at an early hour in the morning by an apwhat was stated in a former lecture, when to visit a female in labour, who plication explaining the different changes of the lived at the foot of Blackstone-Edge, a disblood, that these can never be a crite- tance of four or five miles from Rochdale, rion for estimating the quantity pro- my then place of residence. The case beper to remove, whilst the blood is flowing ing one of emergency, and being obliged from the vein, neither can any appearance to dress in haste, I merely wrapped a of the blood after its coagulation guide thin cravat around my neck, neglecting you in repeating the venesection. The the other usual coverings. On my journey appearance of the buffy coat has been I was exposed to a cold sharp wind, from chiefly dwelt on as an important character which I felt much chilled about the face of the inflammatory diathesis ; but as I and neck. After being in the house an have also observed, the buffy coat is not hour the terminated, when I reto be considered either as a certain test mained to of tea with the female partake of inflammation, or a safe index of the which some anecdote during propriety of bleeding. There is usually was related that excited laughter, when, no appearance of the bntly coat in blood to my great surprise, I suddenly felt a peremoved from persons affected with vio- culiar sensation, and a numbness, in the lent inflammations until the latter stage left side of my face. I immediately turned of the disease, and at the very time when to a and to my dismay perceived mirror, the further abstraction of blood would be the whole of that side drawn completely pernicious; and, on the other hand, in awry, and presenting a most ludicrous apis unmany diseases where blood-letting pearance. Prior to this attack I had ennecessary or even hurtful, the buffy coat joyed uninterrupted good health ; age 25, ’ may be occasionally observed. person spare, and habits strictly absteBefore concluding this subject, I have mious. For nearly two years the left yet to point out the circumstances which angle of the mouth had so completely lost indicate when blood-letting should be dis- its power, as to render it difficult during continued, and also the injurious effects mastication to retain the food when on which sometimes arise from the loss of that side. I was also incapable of perfectly blood. closing the eyelids of the affected side. I used a variety of remedies suggested to me by professional friends, without benefit, what I derived from simple PARALYSIS OF ONE SIDE OF THE FACE. excepting friction, which I daily employed with the flesh-brush, and which I have every reason to believe was advantageous. Ten Tothe Editor of THE LANCET. years have now elapsed since the attack, SrR,—In your journal for the llth of and I am perfectly recovered, having sufJanuary, I observed the following para- fered the paralysis about eight years, withgraph :—"’Isee they say in THE LANCET, out the slightest symptom of a relapse. or some other journal, that Dupuytren is Reflecting on this case I should say, ill, and that he has had paralysis of one that the cause was not dependent either half of the face. Now I never knew a on disease of the brain or the digestive case of this kind in which the patient did organs, but that it originated solely in an It does not arise idiopathic affection, of the portio dura, not ultimately recover. from injury to the cerebrum, but from an arising from exposure to cold. affection of the portio dura.’—Mr.Brodie at St. George’s." Having some time ago been affected in a similar manner, I forward you all acTHE BARON DUPUYTREN has, since his count of my own case, the termination, of journey to the South, recovered so happily which accords with the remark of Mr. and speedily, that a few weeks since he Brodie, and substantiates the opinion of taking his pleasure in Naples, Sir C. Bell, given in his admirablework on -and is now anxious to be again receiving " Nervous System ; wherein he re- his daily morning roll and pulling refraclates the case of a clergyman, one half of tory patients by the hair in the H6tel whose face was paralysed from exposure Dieze.
tioned, I
labour
attendants,
I
icommenced
the
"
of a
buffy coat,
to
quantities
of
Whilst all these circumstances are menCASE.—Jan. 11th, 1824, I was aroused must at the same time repeat at an early hour in the morning by an apwhat was stated in a former lecture, when to visit a female in labour, who plication explaining the different changes of the lived at the foot of Blackstone-Edge, a disblood, that these can never be a crite- tance of four or five miles from Rochdale, rion for estimating the quantity pro- my then place of residence. The case beper to remove, whilst the blood is flowing ing one of emergency, and being obliged from the vein, neither can any appearance to dress in haste, I merely wrapped a of the blood after its coagulation guide thin cravat around my neck, neglecting you in repeating the venesection. The the other usual coverings. On my journey appearance of the buffy coat has been I was exposed to a cold sharp wind, from chiefly dwelt on as an important character which I felt much chilled about the face of the inflammatory diathesis ; but as I and neck. After being in the house an have also observed, the buffy coat is not hour the terminated, when I reto be considered either as a certain test mained to of tea with the female partake of inflammation, or a safe index of the which some anecdote during propriety of bleeding. There is usually was related that excited laughter, when, no appearance of the bntly coat in blood to my great surprise, I suddenly felt a peremoved from persons affected with vio- culiar sensation, and a numbness, in the lent inflammations until the latter stage left side of my face. I immediately turned of the disease, and at the very time when to a and to my dismay perceived mirror, the further abstraction of blood would be the whole of that side drawn completely pernicious; and, on the other hand, in awry, and presenting a most ludicrous apis unmany diseases where blood-letting pearance. Prior to this attack I had ennecessary or even hurtful, the buffy coat joyed uninterrupted good health ; age 25, ’ may be occasionally observed. person spare, and habits strictly absteBefore concluding this subject, I have mious. For nearly two years the left yet to point out the circumstances which angle of the mouth had so completely lost indicate when blood-letting should be dis- its power, as to render it difficult during continued, and also the injurious effects mastication to retain the food when on which sometimes arise from the loss of that side. I was also incapable of perfectly blood. closing the eyelids of the affected side. I used a variety of remedies suggested to me by professional friends, without benefit, what I derived from simple PARALYSIS OF ONE SIDE OF THE FACE. excepting friction, which I daily employed with the flesh-brush, and which I have every reason to believe was advantageous. Ten Tothe Editor of THE LANCET. years have now elapsed since the attack, SrR,—In your journal for the llth of and I am perfectly recovered, having sufJanuary, I observed the following para- fered the paralysis about eight years, withgraph :—"’Isee they say in THE LANCET, out the slightest symptom of a relapse. or some other journal, that Dupuytren is Reflecting on this case I should say, ill, and that he has had paralysis of one that the cause was not dependent either half of the face. Now I never knew a on disease of the brain or the digestive case of this kind in which the patient did organs, but that it originated solely in an It does not arise idiopathic affection, of the portio dura, not ultimately recover. from injury to the cerebrum, but from an arising from exposure to cold. affection of the portio dura.’—Mr.Brodie at St. George’s." Having some time ago been affected in a similar manner, I forward you all acTHE BARON DUPUYTREN has, since his count of my own case, the termination, of journey to the South, recovered so happily which accords with the remark of Mr. and speedily, that a few weeks since he Brodie, and substantiates the opinion of taking his pleasure in Naples, Sir C. Bell, given in his admirablework on -and is now anxious to be again receiving " Nervous System ; wherein he re- his daily morning roll and pulling refraclates the case of a clergyman, one half of tory patients by the hair in the H6tel whose face was paralysed from exposure Dieze.
tioned, I
labour
attendants,
I
icommenced
the
"