THE INDIAN MEDICAL GAZETTE.
298
A CASE OF RIGHT-SIDED HEMIPLEGIA WITH
APHASIA;
RECOVERY.
By Sorabji Furdunji
Gazdar,
Civil Surgeon, II. H. the Gaekwar's Civil Hospital at Kudi. Mrs. T., aged 55, was admitted in the month of May last
with loss of motion and sensation in the right upper and lower extremity, difficulty of speech and inability to comprehend what was said to her. There was no hereditary tendency and no history of syphilis or other chronic ailment. The present illness was ushered in with a sudden loss of consciousness one morning five days before admission, lasting for a few minutes only, so that when consciousness returned she found herself unable to move the affected limbs. She was said to be perfectly quiet before the onset of the fit, and there were no premonitory head symptoms. The heart and kidneys were found to be normal, but the arteries were atheromatous and felt like rigid tubes wherever accessible. The right arm and leg were completely paralysed not only as regards motion and sensation, but the sense of heat and pain, and the topographical sensibility were also lost. The aphasic symptoms consisted particularly in a loss of memory of words, and to some extent in difficulty of speech. She could repeat certain words when spoken to, but seemed at a loss to remember them some time after. She was subject to various emotional feelings, so that she would cry and sob at one time and at other would remain dull and
melancholy. The transitory
nature of the fit coupled with absence of any evidences of compression of the brain led me to regard the case as due to embolism of the left middle cerebral artery, probably resulting from the detachment of some atheromatous deposits. Iodide of potassium combined with ammonia formed the chief treatment aided by Faradisation of the paralysed muscles later on. Within a week after the treatment there was a return of sensibility commencing in the leg followed up by the recovery of speech and power of This improvement continuing, the patient was motion. able to walk and eat with the right arm in about four weeks more, when she had so far recovered that she left off treatment and has not been seen since. Kudi Civil Hospital, loth September 18S2.
[November 1,
1882.
298
A CASE OF RIGHT-SIDED HEMIPLEGIA WITH
APHASIA;
RECOVERY.
By Sorabji Furdunji
Gazdar,
Civil Surgeon, II. H. the Gaekwar's Civil Hospital at Kudi. Mrs. T., aged 55, was admitted in the month of May last
with loss of motion and sensation in the right upper and lower extremity, difficulty of speech and inability to comprehend what was said to her. There was no hereditary tendency and no history of syphilis or other chronic ailment. The present illness was ushered in with a sudden loss of consciousness one morning five days before admission, lasting for a few minutes only, so that when consciousness returned she found herself unable to move the affected limbs. She was said to be perfectly quiet before the onset of the fit, and there were no premonitory head symptoms. The heart and kidneys were found to be normal, but the arteries were atheromatous and felt like rigid tubes wherever accessible. The right arm and leg were completely paralysed not only as regards motion and sensation, but the sense of heat and pain, and the topographical sensibility were also lost. The aphasic symptoms consisted particularly in a loss of memory of words, and to some extent in difficulty of speech. She could repeat certain words when spoken to, but seemed at a loss to remember them some time after. She was subject to various emotional feelings, so that she would cry and sob at one time and at other would remain dull and
melancholy. The transitory
nature of the fit coupled with absence of any evidences of compression of the brain led me to regard the case as due to embolism of the left middle cerebral artery, probably resulting from the detachment of some atheromatous deposits. Iodide of potassium combined with ammonia formed the chief treatment aided by Faradisation of the paralysed muscles later on. Within a week after the treatment there was a return of sensibility commencing in the leg followed up by the recovery of speech and power of This improvement continuing, the patient was motion. able to walk and eat with the right arm in about four weeks more, when she had so far recovered that she left off treatment and has not been seen since. Kudi Civil Hospital, loth September 18S2.
[November 1,
1882.
