Page images
PDF
EPUB

.........

13

332

5

PAGE

PAGE
Correspondence-

Epithelioma of cervix, treatment......
Protection......

139 Ergot vs. brandy in uterine hæmorrhage, by T. W.
S. Payne, M.D ......

169 Poole, M.D., Lindsay, Ont........

.................... IOI
A bad case ........

197 Ether, death from ........

. ................. 121
Complete consolidation of one lung......

198 Ethyl bromide, new anæsthetic................ 243, 375
Ethics, 1. A. Langrill, M.D...

199 Examinations-
Suspended gestation, or what ?...............

237 Royal College of Physicians and Surgeons, Kingston,
Medical Council and coming elections ....... 265 McGill Medical College, Montreal..
W. B. Geikie...........

Bishop's Medical College.....
Practitioner ..............................

292 Ontario Medical Council ..............
Medical Profession vs. Quackery........

330

Toronto University..............
Duties of the returning officer .......

331,

Trinity University .......
Treasurership of the Medical Council....

Victoria University .........
Hamilton medical men and country confrères. 358 Queen's University .......
Medicus. ........

Matriculates in medicine ..
Credit to whom credit is due..

Examination questions R.C.S.Eng...
Croup and diphtheria, distinctions between.......

Excreta, disposal of.......
Croup and diphtheria (translation), by J. Workma Excursions to Europe, Cook's..
M.D., Toronto..........

Experts, physicians as, to be paid...
Croup, Barker treatment of..........

310 Extra-uterine pregnancy, ventral, by Abraham Francis,
Croup, bromine vapor in................. .........

M.R.C.S. Eng., Delaware, Ont......
Croup, rules of treatment...............

313 Eye and ear dispensary, Toronto...............221
Curious case ..........................

92 Facial palsy- Wood.......
Daring operation ..................

116 Famine fever.............
Death of a promising student. ... .......

317 Febrile diseases, treatment by the application of cold,
Death, proof of........................

245 | by T. K. Holmes, M.D., Chatham, Ont.........
Delirium tremens, treatment............

245 Fibroid tumors of the uterus, diagnosis and treatment,
Dextro-quinine in double pneumonia..

by Jas. Cattermole, M.D., London, Ont. ........ 161
Diarrhoea of children ........

12 Fluid extracts, medicinal.........

.......... 25
Digitalis combination.......

26 Forceps and its alternatives, use of in labor. .. .......
Digitalis, how to use. ................

374 Forceps, version, etc., in contracted pelvis........... 299
Dimples to order ......

343 Fracture of clavicle, simple apparatus................ 213
Dinner, Toronto School of Medicine..
122 | Fracture of radius, treatment -Levis......

173
Dinner, Trinity Medical School ..

155 Fractures, ununited, transplantation of osseous tissue..
Diphtheria, carbolic acid in ....

14 | Gastrotomy, in internal obstruction. .....
Diphtheria, chloral in ...........

Gestation, prolonged.......
Diphtheria, great contagiousness of....

18 Gonorrhæa, boracic acid injections in. .......
Diphtheria, preventive measures...

93 Hæmorrhage in abortion.....
Diphtheria, prophylactic treatment..

286 Hæmorrhage, treatment of........
Diphtheria, treatment of ...........

302 Hæmorrhoids, forcible dilatation of anus in treatment.
Dipsomania ............

178 Hæmorrhoids, painless cure.........
Disease, present and permanent treatment.

206 Hæmorrhoids, treatment of.........
Disinfectant, new........:::

343 | Harvard College still to the front..
Dislocation of femur in a child .

178 Hay fever--novel remedy .........
Doctors' prescriptions .....

25 | Headless man ................
Dover's powder, improved........

63 Healthy exercise for girls..........
Dover's powder in sweating of phthisis ....

Heart disease, iron in large doses .....
Double ovariotomy and amputation of uterus, by J. Heart-failure, intravenous injection of ammonia in.....

Knowsley Thornton, M.B.-A. M. Baines, M.B.. 354 Heat apoplexy......
Douche, vaginal, how to apply .....

245 Hematocele, pelvic, by D. C. Allan, M.D., Amherst,
Drainage, thorough, in wounds......

N.S..!
Duchenne's palsy and tendon-reflex.....

339 Hemoptysis, inhalation of turpentine in....
Dysentery, chloral hydrate in .....

85 Hernia and paracentesis thoracis, by W. S. Christoe,
Eclampsia or infantile convulsions, by H. M. McKay,

M.D., Fiesherton, Ont............

28
M.D., Woodstock, Ont........

193 | Hernia, cure of by Heaton's method, by W. B. Degar-
Eczema intertrigo, of infants....

mo, M.D., New York ........
Eczema of the palm. ...........

Hernia, inguinal, radical cure of....
Eczema of palm, treatment ..

Hip-joint, amputation at.........
Eczema, oxide of zinc in......

342 Holidays in schools, shortening of..
Editorial changes. ...

63 Homeopathy, elision of the term
Election addresses ......

268 Hospital management.........
Electricity a paralyzing agent......

109 Huron Medical Association......
Electricity in medical treatment .....

.. 248 Hydatids of spleen and lung............
Electric light, operating by .....

216 Hydrastis Canadensis .....
Electro-therapeutic apparatus, by A. M. Rosebrugh, Hydrocyanic acid, therapeutic value of ....

20
M.D. .............

....... 327, 355 Hydrophobia, curare in ...........................
Elephantiasis, treatment by electricity ............... 247 Hygiene, museum of.....................

. 14
Elephant, birth of young .......................... 341 | Hygieopolis, a real.......................

. 221
Elixir, simple ...........

................... 27 | Hypodermic medication...
Empyema, complicated with lymphomata, etc........ 276 Hypodermic syringe, an aid to diagnosis...
Empyema, excision of ribs in......
174 Hysteria in boys........

146
Empyema, treatment of ...............
336 Hysteria of medical students ............

178
Encyclopædia of medicine, new....

.. 118 Hysterical mania in Italy.......
Epilepsy, treatment of.........
.. 11 | Hysterics, treatment of.....

243

:::::::

........

::::

.............

93

........................

::::::::

.............

312

348

.........

187

18!

...........

342

........... 129

6

:::::

301
203

[ocr errors]

PAGE

PAGE
Hysterotomy, vaginal.....

......... 222 | Notes and comments... ..............93, 121, 254
Intra-uterine medication.. ...

.......... 74, 178 Nursing at Guy's hospital.............
Ice a vehicle for medicine ...,
.............. 121 | Obituary of James Bovell, M.D ........

249
Important decision- Dr. Mallory vs. Ontario Medical

Obituary of John Turquand, M.D....

314
Council. .......
....... 157, 187 Obstetric practice in Siam......

115
Indian rose pad.. ....

187 Official misrepresentation.............
Infectious diseases, registration of......

220
Old Oaken Bucket.......

214
Irideremia, or total absence of the iris, by G, S. Ryer-

Ontario and British qualifications .....

43
son, M.D., etc., Toronto....................... 264 Ontario election notes..

284
Iritis, syphilitic, by G. S. Ryerson, M.D., Toronto ... 289 Ontario Medical Council ....
Iron and ammonium chloride in heart disease......... 116 Ontario Medical Council, officers .......

........ 348
Iron and tannic acid .............................. 286 | Operation, rare and delicate....

er............ 121, 187
Items...................................246, 280, 310 Operation, wonderful surgical..........
Jaborandi in pleuritic effusion......
211 | Opium, high price of.........

317
johns Hopkins' University .... ... ..

316 Opium inebriety, its treatment at Foochow........... 114
Journalistic ..........

150 Opium inebriety, new method of treatment............ II2
Junod's boot, application of...........

Osteotomy, subcutaneous--Adams.......... ........ 274
Kidney, extirpation of-Martin.........

216 Otorrhæa, iodoform in........
Knee-joint, aspiration in acute and chronic effusions.

310 Ovariotomy antiseptic, by A. E. Malloch, M.D., Ham-
Lactopeptine........

..........

ilton, Ont .......................
Laparotomy for removal of uterine fibroid......... 13 Ovariotomy, double, and amputation of uterus, by J.
Laryngeal tumor, removal.........

302 Knowsley Thornton, M.B.--A. M. Baines, M.B.. 354
Larynx, occlusion of, operation.....

334 Ovariotomy, results before and after antiseptics.........
Laxative, common salt as a.......

222 Ovariotomy, recovery, by L. Harvey, M.D., Watford,
Lead poisoning, milk an antidote ......

188
Ont.........

..........
Lime juice....
..27, 350 Ozæna. treatment of........

...........63,
Listerism, statistics with and without....
Lister's statistics ........................

Paper jacket instead of plaster of Paris in spinal disease

Paracentesis pericardii.........
Lithola paxy (with cut). ...............

Paraphimosis, simple method of reduction............ 307
Lithotomy, supra-pubic. ..............

Parturition, hot water douche in....................
Liver, abscess of, aspiration.
295 Past year, the...................

149
Liver, abscess of, puncture....

Pelvic effusions, treatment..............
Locomotor ataxia (translation). by G. T. McKeough,
M.D., M.R.C.S. Eng., Chatham, Ont............

the Pennsylvania hospital, pharmacopoeia.

Pericardial effusion, aspiration........
London fog, fatality of................

Personals.........................
Lung, gangrene of, recovery.........................
Lupus of face, removed by excision ....

Pessary, Hodge's, in retro-flexions...
Lympho-adenoma of the neck, extirpation and cure, by

Pessary, retention for 30 years. ........
J. Workman, M.D., Toronto.. .

Pharynx, extirpation of......
Maize, stigmata of, in urinary complaints

Pharynx, granular erosion of.........

.....
Malaria, what is it ?...........

Pharynx, tumor of-operation.........
M altine................................

5. Phthisis, antiseptic inhalation in ..
Matriculation, Medical Council, Ont...

Phthisis, self-limitation in cases of .......
Meanness, the height of............

(Phthisis, source of alarming hæmorrhages............
350 | Pillow, cold water.....

215
Measles, followed hy albuminuria....
Medical and sanitary legislation .......

Placenta prævia, by Joseph Workman, M.D., Toronto.
Medical baronets ...........

Placenta prævia, new treatment .........
Medical college fees..........

Pleuritic effusion, treated with jaborandi. ............ 211
Medical Congress, International........

Pleuro-pneumonia, complicated with empyema, by J.
Medical Council elections.... 120, 158, 222, 252, 281, 318

H. Ryan, M.D, Sussex, N.B...

Pneumonia, aconite in..........................
Medical ethics, code of.........
Medical protection.....................

Poisoning, legal................................
Medical receptions.................

Porro operation ..................:
Medical service, night........

Post-partum hæmorrhage, treatment by topical applica-
Medicine bottle, improved..................

tions, by G. A. Tye, M.D., Thamesville, Ont.... 70
Medico-legal warning.........................

Practitioner, successful experience of...

82
Medical library association.................

Pregnancy, early.........
Menière's diseuse .........................

Pregnancy, surgical operations during.........

215
Microcephalus ........

Preserving fluid, new...........

119
Microbio of puerperal fever, by Joseph Workman, M.

Prescribing, gratuitous .......

221
D., Toronto..........

Prolapsus ani, treatment......
McGill Medical College, Montreal....

Protection of the public ......

.......... 122
Nares, new method of plugging........

Pruritus pudendi.......

179
Nasal polypi, speedy cure ..........

1761

Pseudo-hypertrophic paralysis....
Newspaper advertising.....

1881

Fublic health and sanitary reform..
Newspaper reporter, ubiquitous ......

Public prosecutor .......
Neuralgia, aconitia in ......

27 Puerperal convulsions, chloral in...
Neuralgia, nerve-stretching in.....

293 | Puerperal fever, bleeding in..........
300
Puerperal infection, treatment............

309
Neurotomy, substitute for enucleation .......... 280
New Council. ......
Cod Puerperal malarial fever..........

205
Night sweats, of phthisis, Dover's powder in....

349 Puerperal mortality in hospitals ..........
Night sweats, of phthisis, picrotoxine in ........ 215 Quebec medical bill.....
Nocturnal emissions, treatment.......

45 Rabies gynecologica .................
Nose, a new......

221 Reciprocity in medical registration...

79

280

ints...........

344,

..

2

...........

-79

.........,

222

[merged small][merged small][ocr errors][merged small]

.

.

.

.

[merged small][merged small][ocr errors][merged small][merged small][ocr errors][merged small][ocr errors][merged small][merged small][ocr errors][ocr errors][merged small][ocr errors][ocr errors][merged small][ocr errors][merged small]

.......

[ocr errors]

• 337

PAGE

PAGE Rectum, imperforate--operation, by Dr. D. H. Dow's Stethoscope, origin of ......... ley, Clinton, Ont......

....... 290 Stomach, dilatation of, mistaken for ovarian cyst.... 242 Red blood corpuscles, origin of.....

148 Stone in bladder, new treatment.

......... 173 Regina vs. Col. Phys, and Surgs., Ont-Judgment of Study, intemperance in............ Chief Justice Hagariy......

311 Styptic colloid ....... Registrar-General of Great Britain.......

222 ' Suture, new elastic ........ Registrar-General of Ontario, report of...

248 Syphilis and mental alienation.... Registration of infectious diseases.......

220 Syphilis, cerebral..................... Registration of prevalence of disease .....

89 Temperatures, very high............ Renal inadequacy.........

211 | Tendon-reflex, patellar, in Duchenne's palsy.... Repair of exsected fragments of nerves, etc. ........... 374 | Testicle, transplantation of, from groin......... Reports of Societies

! Tetanus, traumatic, treatment.... Michigan State board of health...... .28, 190, 272, Therapeutics and materia medica . Oxford medical association .......... .....94, 189, 319 The "Toronto school" organ.... Newcastle and Trent medical association... 122, 250, 351 Tinea tunsurans, treatment....... Hamilton medical and surgical society....

189 Tracheotomy--inquest ........ Medico-chirurgical society, Montreal.............. 190 | Trephine, when to...... Bathurst and Rideau medical association........... 255 Trephining of bone for pus, by A. B. Atherton, M.D., Ottawa medico-chirurgical society. .....

Fredericton, N.B .. Huron medical association..

270 Trinity medical college, Toronto....................... 285 Bruce N. R. medical association .......

Tricity University, convocation... Belleville medical society.........

271 Trousseau's cataplasm ...................... Brant County medical association ......

318 Tulley's powder........ Toronto medical society ....

....... 321, 360 Tympanum, caries of and necrosis of mastoid... New Brunswick medical socieiy.

Typhoid fever, specific treatment..... Retirement of Dr. McCaul and Prof. Croft, of Univer

Typhoi i sever, treatment in Philadelphia hospitals.. sity College, Toronto ... r. ................ Ulcers, chronic, iodoform in .

......... Returning officers, duties of........

345 Uca

Ulcers, treatment of, in N. Y. hospital....
Rheumatism, acute, salicylic acid in......
Rheumatism, acute, salicylate of soda in...

366
Urethra, rupture of, etc., by J. R. Hamilton, M.D.,

Stratford, Ont...............
Rheumatism, acute, therapeutics of .....
Ricord's mixture.......

Urinary organs, points in surgery of................. Royal College of Physicians and Surgeons, Kingston.. 285

Urine, causes of pus in, and differential characters .... 47

2 Sad and suggestive picture........

Uterine (intra) medication ........

216 Salicylate of soda in acute rheumatism............... 300 Uterus, double, and superfeetatio...............

Uterus, chronic senile inversion of .................. So Sanitary reform and public health. .................. 104 Uterus, extirpation of...........

216 Scurvy-DaCosta.........

9 Uterus, laceration of cervix.................... Seminal emissions, when pathological?....

Uterus, rupture and inversion .....................
Sexual precocity, early (translation), by J. Workman,
M.D)., Toronto.....

6 Uterus, stenosis of os, fibroid, etc ................ Sleeplessness, cure for. . .

280' Varicocele, treatment by subcutaneous ligation........

266 | Vascular system, effects of pithing ...... Spaying............ ........................ Special notice...

245 Ventilator, automatic.............. Speculum, Sims', always at hand........

245 Ventral extra-uterine pregnancy, by Abraham Francis, Spinal irritation, treatment by blisters to spine.

M.R.C.S. Eng., Delaware, Ont... Spinal sclerosis, posterior. .....

293 Victoria University. ........ Statuary, Rogers' groups........

158 Vivisector, an illustrious..... Statue to Dr. Long...........

63 Women, cruelty to...... Sterility, a result of lithotomy......

113 / Work and play.......

274

296

[ocr errors]

298

339

........

148

[ocr errors]
[ocr errors]

..

[ocr errors]

..

..

..

..

.

.

[merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][ocr errors]
[merged small][ocr errors][merged small][merged small]
[merged small][ocr errors][merged small][merged small]

13 |

THE CANADA LANCET, be general at e

eralized, but their fundamental character is not to be general at the first onset, but to appear first in

the face or in an extremity or in a limited segment A MONTHLY JOURNAL OF

of an extremity, according to the seat of the lesion

provoking it. Often they are not accompanied by MEDICAL AND SURGICAL SCIENCE.

any loss of consciousness, and in cases where loss

I of consciousness occurs it takes place some time VOL. XII. TORONTO, SEPT. ist, 1879. No. 1. after the onset of the convulsions, instead of being

initial, as in cases of true epilepsy. Partial epiOriginal Communications.

lepsy has a great diagnostic value ; it indicates an irritative lesion of the motor zone, that is to say, a

lesion which does not destroy abruptly the office of OF THE SYMPTOMATOLOGY OF CORTI- the cortical structure. Palsies of a cortical origin CAL LESIONS OF THE BRAIN. are associated, or not, with partial convulsions,

sufficiently frequently they are accompanied by a BY C. W. COVERNTON, M.D., ETC., TORONTO.

primitive contraction. Most frequently they com.(Translation from “Le Progrès Medical).

mence under the form of a monoplegia, and may

remain linsited to parts primarily attacked or extend M. le Dr. Dario Maragliano, physician of the progressively to the entire half of the body, accordAsylum for Insane at Reggio Emilia, has recently ing as the cortical lesion remains stationary or published an interesting work on the symptoma- extends succesively to all the cortical motor centology and diagnosis of cortical lesions of the tres of one hemisphere. In other cases palsy folmotor zone of the brain. This attempt at didactic lows an inverse march; it assumes at the beginning systematization of symptoms by which the lesions the hemiplegic form, then it diminishes little by of the cortical structure may be comprehended, little in certain parts and fixes itself on others in a merits careful attention. It shows the important condition of incurable monoplegia, for once they hold on the foreign mind the doctrine of motor are definitely established, cortical palsies are accomlocalization has taken, and proves that this doc- panied like those which result from central lesions, trine, notwithstanding the opposition it encounters, with secondary contraction and descending degenpenetrates every day more deeply into the clinical eration of the medulla spinalis. In short, vasodomain under the patronage of accomplished phy- motor palsy is in general less marked following sicians equally apt in the examination of patients cortical lesions, than as a consequence of central and in the practice of autopsies. The paper of M. lesions, or to speak more exactly, is dissipated Maragliano is in effect essentially clinical; the quicker and more completely in the first case than author has understood the truth developed under in the second. To recapitulate, the dissociation, various circumstances by M. Charcot, namely, that the progressive establishment or the gradual disapthe study of cerebral localizations in man should pearance, the variability, the frequent conjunction only be undertaken with the assistance of notes of primitive contraction, the relative lightness of taken at the bedside and confirmed by autopsies, accompanying vaso-motor trouble, such are in the and that if experimental physiology seeks to throw opinion of M. Maragliano the principal charactera light on clinical study, it can in no case subject istics of palsy of a cortical origin. The other it, or speak magisterially in a domain which is not symptoms of lesions of the motor zone have less its own. The two principal symptoms of cortical importance than the preceding ; they may neverlesions of the motor zone are convulsions and pal- theless be useful aids to diagnosis, and merit theresies. The convulsions of cortical origin have been fore a notice. Lesions which are limited exactly carefully studied in recent times; they are often to the motor zone never give rise to anæsthesia. designated under the name of partial epilepsy or Calender, in St. Bartholomew's Hospital Reports Epilepsy of Jackson. They are generally unilat- for 1869, attributes a great diagnostic value to the eral, often even confined to one extremity or to ans existence of intense cephalalgia occupying a fixed isolated muscular group. They may become gen- locality, persistent, obtuse and heavy. Some observations seem to show the exactitude of this circumscribed palsies or hemiplegia, the gradual view, and to point out that if even cephalalgia is apposition of which may be considered as the not observed in all cases, it corresponds often when reunion of several monoplegias ; if this palsy is it does exist with the seat of the lesion. When accompanied with precocious contraction or with there is no spontaneous pain, it is possible some aphasia : if there is in the palzied limbs only a times to reveal, by percussion of the head, a pain slight and transitory elevation of temperature ; if, limited more or less intensely. Percussion ought finally, we discover an obtuse pain spontaneous or to be practised directly with the finger (middle by provoked by percussion, occupying a circumscribed preference), by striking light and rapid taps over part of the head, the diagnosis of a cortical lesion different points of the cranium. When a localized nature of certain lesions, or of certain concomitant lesion exists at the surface of the brain, this meth. functional troubles. Aphasia, for example, coinodical exploration provokes frequently an intense lcides much more often with cortical lesions than pain at a limited point, which corresponds with the with central lesions : its existence alone presupseat of the cortical lesion. Dr. Robertson, in the poses a cortical lesion. Softening concerns more Journal of Mental Science, July, 1878, p. 274, often the cortical than the central portions ; if for reports some cases in which this method had been reasons not necessary to enumerate here, there is to him of great assistance in establishing diagnosis. reason to think that the patient under observation

Cranial thermometry may also in certain cases is affected with softening, the conclusion would be render real service. Studied in recent times by probability of cortical lesion. In utilizing all these Broca, E. Maragliano, Gray (Journal of Nervous elements, we may often arrive at determining in a and Mental Diseases, July, 1878), and still more precise and certain manner a diagnosis of cortical recently by Paul Bert (Biological Society Meeling lesion. Unfortunately it is not always thus, and of 1812 January, 1879), it has already given some in a good number of cases diagnosis is uncertain precise results from which the clinical observer and even impossible. M. Maragliano indicates may derive profit. In order that thermal varia- the principal clinical eventualities in the following tions may have value, it is necessary that there cannot be in doubt. A reunion of all these sympshould be between two symmetrical points of the toms is not even necessary to assure the diagnosis, cranium a very notable difference (one degree! The simultaneous existence of partial convulsions centigrade at least) for differences of some tenth of and of a palsy in the form of monoplegia or hemi. a degree only may be observed in physiological plegia, permits the diagnosing with a sufficient conditions. The diseased side will, besides, be certainty a cortical lesion of the motor zone. The sometimes colder, sometimes hotter, than the aspect of things differs when convulsive phenomena healthy side, according to the nature of the lesions are absent, even when all other symptoms are exof which it is the seat. It will be colder, for isting. Diagnosis loses all character of certainty example, if we have to do with arterial obliteration, in this case ; it becomes simply probable. It is and hotter when an inflammatory lesion is con- impossible also to diagnose a cortical lesion in cerned.

cases where lesion of that structure is so extended Such are the principal signs of cortical lesions

as to destroy from the commencement the whole of the motor zone. It is necessary to add that,

of the motor zone, as that happens as a following

to the obliterations of the cortical branches of the besides these direct signs, the physician may often utilize in a diagnostic point of view, considerations

fissure of Sylvius. Hemiplegia, then, differs in no drawn from the march of the disease, from the

particular from the ordinary variety of central summing up, which we think it right to translate

origin. Finally, diagnosis will be impossible when textually. If there exists, he says, convulsions,

we find ourselves in the presence of a total hemilimited or making an appearance at first before

plegia, on the mode of evolution of which no par

ticulars can be gathered. We add no commentary becoming general, in a group of isolated muscles, not accompanied or accompanied only tardily with

to these conclusions, which appear to us to be the

actual statement of our knowledge,—the most a loss of consciousness; if consecutive to these convulsions or alternating with them, there are

I probable expression of the truth.

« PreviousContinue »