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On the state of the Small Arteries and Capillaries in Mental Disease

Published online by Cambridge University Press:  19 February 2018

Extract

Among the structural changes which may cause the phenomena observed in insanity, physiology leads us to the conclusion that they must be connected with, firstly, the nerve tissues, and, secondly, the blood. It teaches us that upon the action that takes place between these elements the phenomena of mind depend.

Type
Part I.—Original Articles
Copyright
Copyright © Royal College of Psychiatrists, 1869 

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References

Durham on the Physiologyof Sleep, Guy's Hospital Reports, Vol. VI. p. 149.Google Scholar

A drawing of the appearance of small artery was exhibited, showing its normal thickness.Google Scholar

Most of the preparations exhibited were stained with Litmua.Google Scholar

Esquirol found heart disease in 1/13 of his cases; Webster, 1/8; Bayle, 1/6; Calmeil, 1/3; Sutherland, 1/14; at Vienna, in 1/4.Google Scholar

There is little doubt from Dr. Johnson's observations that hypertrophy of the heart is found in conjunction with hypertrophy of the walls of the small arteries; but it is obvious if the hypertrophy of one is balanced or adjusted by the increased power of the other, no ill effect would result. Dr. Johnson tells me that in certain of his cases in which hypertrophy of the walla of the arteries of the pia mater existed to an extraordinary extent, there was no marked cerebral disturbance till just preceding death. It is much more probable that in insanity the impure condition of the blood induces the hypertrophy.Google Scholar

“Whatever increases the activity of the cerebral circulation tends to preserve wakefulness; and whatever decreases the activity of the cerebral circulation, and at the same time is not connected with the general health of the body, tends to induce and favour sleep.” Dyrgam, loc. cit.Google Scholar

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