PLUMBUM.
MIND.
►
Delirium, [39], [53], [85],
etc. ► Most violent delirium, with
screaming and running about the room, succeeded the epileptiform spasm, [94]. ►
Delirium, resembling the most frightful kind of madness, and impelling
them to tear themselves and bite their own fingers, [171]. ►
Furious delirium, resembling delirium tremens, [476]. ►
Raging, alternating with quiet, delirium; the former came in paroxysms;
no fever, [170]. ► Delirium, with violent raging, so that he
had to be put into a strait-jacket, with hallucinations of vision, [444]. ►
Raging delirium, [46]. ► Furious delirium, [305]. ►
Violent delirium, at night, [35]. [10.] ►
Violent delirium set in and continued for some days. As the delirium
declined, the mind did not recover its clearness and integrity, on the
contrary, his sensations and perceptions were vitiated and erroneous.
Various morbid ideas took possession of him, and some of them remained,
and continued to manifest themselves for many months after his apparent
restoration to health, [561]. ► The delirium tranquil during the day,
furious at night, [305]. ► Complete rage, [28]. ►
Delirium, with bewildered expression, [35].
► Delirium, with very violent
convulsions, [96]. ► During the third day of delirium, he was
awake, sometimes quiet, sometimes violent, but almost totally
irrational. Pulse, 80; skin rather hot, [191].
► Delirium, for three days (in a
previous attack), [222]. ► Delirium, with trembling of the tongue
and hands, [578]. ► At times delirious, [276]. ►
Nightly delirium, alternating with sopor, [235].
[20.] ►
He was at times delirious, very restless, and manifested great concern
for his affairs, [279]. ► Delirium, alternating with sopor, [237]. ►
Tranquil delirium, [305]. ► Appeared to be rapidly recovering, when
he was suddenly seized, about 11 A.M., with furious delirium, attended
at intervals, by general spasms. It was astonishing to see him, who,
three hours before, could only pronounce with difficulty a limited
number of words, whose voice was weak, and whose utterance was faint and
drawling, now talking incessantly, and pouring forth shouts, screams,
and abuse against all who approached him. His voice was loud and clear.
His delirium turned chiefly upon the idea that his
life was in danger from assassination or poisoning, and that every one
about him was a murderer. His muscular strength was increased
to such a degree, that, with one hand, he could lift all his mattresses
at once with the greatest ease. He left his bed, and walked about
briskly, knocking against every obstacle at random. His face was
flushed; his eyes sparkling and fierce. At last a strait-waistcoat was
put on him, which heightened his fury. Pulse, 65; heat of body rather
increased. The delirium lasted about half an hour, when it was succeeded
by coma, during which he lay stretched out and motionless, with closed
eyes and somewhat pale face. Strong stimulation could only draw forth a
few unmeaning grunts. An hour later, the delirium suddenly returned, to
be followed again by coma, and thus, all that day and night, the
opposing conditions alternated, [190].
► Sudden attack of delirium, in the
evening, accompanied by extreme restlessness; he railed, threatened, and
then fell into a deep sleep. This alternation of delirium and somnolency
continued until morning; next day, face flushed and covered with sweat.
Eyes fixed and expressionless; bloodshot; lids swollen; pupils,
especially the right one, extremely dilated, but moderately sensitive to
light. Expression of face decidedly dull. Frequent movements, more or
less forcible, of the head, limbs, and whole body; so that he had to be
put into a strait-waistcoat, [190].
► Did not close his eyes for a minute
all night; sometimes was silent and quiet, sometimes hurried out of bed,
wanted to dress himself, and went about looking for his clothes; talked
incoherently; abused the nurses and patients. In the morning, to prevent
him from disturbing the ward, he was put into a strait-waistcoat. He
resisted violently; struggled, called for help, screamed, bawled, and
even bit an assistant who had hold of him. After this, he became quiet
and silent, and his limbs ceased trembling. When I entered the room, he
called to me, and begged to be released. He had an astonished look;
something unusual seemed to have altered his expression of face, [173]. ►
During the paroxysms of colic, he tosses and rolls about in bed, weeps
and laments; his pinched-up face denotes the sharpest pain; he is so
distracted by the agony he endures, that he can pay no attention to what
passes around him, nor when asked a question, [137]. ►
During the paroxysms, the face expresses acute pain; he is restless,
rolling about in bed, screams out, etc., [162].
► During the paroxysms, he lay flat
on his belly, dug his fingers into his navel, tied himself tightly in
his cravat, uttered dismal screams, declared that he had to go to stool;
sometimes got up and walked the room hurriedly, his hands pressed to his
abdomen; we have seen the poor fellow leaning on his belly against the
iron railing of his bed, [219]. ► During the paroxysms, a condition
approaching to frenzy; constant restlessness; lying on abdomen; he knelt
down and crouched together in his bed, etc., [211]. [30.] ► During the paroxysms, which occurred
almost every ten minutes, the patient, suffering the greatest anxiety,
his face all distorted, rolled about in bed uttering dismal groans; he
laid his pillow over his abdomen and begged the bystanders to press upon
it with all their force; this afforded temporary relief. He bits the
sheets, his limbs writhed; at times he might have been taken for a
furious madman, [209]. ► During the paroxysms, screaming, tossing
about, and assuming the strangest attitudes, [122]. ►
During the paroxysms, the face is contracted; he screams aloud, sticks
his legs suddenly out of bed, etc., [131].
► Between the paroxysms, mind often
much affected. Would leave home without knowing where he was going;
became enraged with persons he met; and generally remembered nothing of
what had occurred. When brought home, he would shut himself up until he
got right again. One day, he left home to enter the Hospital Beaujon;
got lost, and was quite surprised to find himself at La Pitié, [521]. ►
Although naturally patient of suffering, he was importunate, nay
clamorous for relief, expressing himself in terms of agony, far stronger
than his general appearance and symptoms seemed to warrant, [284]. ►
When admitted he refused to go to bed, tore his shirt off, and spoke
disconnectedly, [439]. ► With loud cries, he insists upon going to
stool, [122]. ► Bites his garments and bedclothes, [208]. ►
Begged and prayed to be released from the strait-waistcoat,
“for,” he said, “I am not mad; but the idea of being
forcibly restrained is enough to drive me crazy,” [172]. ► At
times, the pains became so violent that he weeps and laments; and his
whole frame is agitated, [132]. [40.] ►
Difficulty in putting him to bed; he tore off the clothes, and spoke
incoherently, [440]. ► Started out of bed as if beside himself,
compressing his abdomen with his hands, [120].
► Hung on to the bedpost, and kept
swaying himself with a convulsive movement, [120]. ► He
keeps thrusting his limbs out of bed, and then covering them up again, [136]. ►
Frightful screams, with general convulsions, [56]. ►
Screaming out, at intervals, [203].
► Uttered piercing cries, [120]. ►
Screaming, [215]. ► Screaming incessantly, [223]. ►
Utters doleful groans, and screams loudly for relief, [208]. [50.] ► During the aggravations, he screams,
draws himself together under the bedclothes, suddenly gets out of bed,
then gets in again, and doubles himself up, etc., [209]. ►
During the intervals of quietude, which were very brief, he kept up a
sort of continual grumbling, closed his eyes, and shrunk down under the
bedclothes, [212]. ► In the night, began to talk to himself
quite incoherently, about all sorts of things; then left his bed, and
wanted to lie down in another bed in the room. The nurse easily got him
back to his own quarters; his gait was firm, and he had no tremor; his
eyes were wide open, somewhat projecting and fixed. His face had an
expression of astonishment. During the rest of the night, he talked much
to himself; his delirium was mild and quiet. Next day, his expression
was natural, and he had the use of all his faculties, but he seemed to
take little interest in conversation, and his manner was remarkably
listless. About 5 P.M., he began fairly to rave; would keep chattering
for several minutes, and then be silent for awhile. His face had a wild
expression, which struck the house surgeon on duty. Pulse, 85; no fever.
Worse at night; took part in all the conversation he heard, or fancied
he heard, [185]. ► On the fifth day of the delirium, in the
afternoon, he had a sudden attack of epilepsy, characterized by violent
convulsive movements of the whole body, bloody froth at the mouth,
biting the tongue, interrupted breathing, etc. After an attack, which
lasts about half an hour, he becomes slightly comatose, but soon rouses,
and enters again into delirium. On the sixth day of the delirium, the
general aspect of the countenance was more unnatural than before. There
was less of that harmony of expression which is indicative of a
well-balanced mind. Sometimes the eyes were fixed and the features
concentrated; sometimes the former seemed to roll about, under the
influence of serious thought, and the whole face to partake of this
meditative look. He would still sometimes burst into laughter at the
most unexpected moments. The limbs trembled, or rather, were shaken by
slight spasms, which also ran over the face in different directions,
coming and going at irregular intervals. The tongue was considerably
swollen, from having been bitten during the epileptic seizures of the
preceding day; utterance also was impeded, being stammering, hurried,
and abrupt; an effect to which the slight spasms above spoken of also
contributed. He was sometimes conscious of his condition, and said that
he was insane. His talk became irrational more frequently, and continued
so longer than on the day before. Yet even now, his intellectual
aberration could only be discovered by very attentive observation. On
the seventh day of the delirium, he talked much to himself, and tried to
get into the neighboring beds; he wandered more in his speech; wanted to
strike the nurse, without provocation; when threatened with the
strait-waistcoat, he quieted down somewhat. He often talked to himself
at night; what he said was incongruous, disconnected, and about all
sorts of things. He got up three or four times, and tried to fold his
bedstead together, under the impression that he was working some sort of
machine; then he laid down again. Twice he rose from bed, walked about
with bare feet, and urinated in the middle of the floor; next minute, he
fancied one of the patients called to him, ran headlong to help him, and
got into another bed at the opposite side of the room. His sight was
unimpaired, his gait firm and confident. At times, he was silent and
quiet, although he never closed his eyes. On the eighth day of delirium,
he was quiet, but, in conversation, more decidedly irrational than on
the day before. He spoke to others with a smiling face; he was silent
and looked very thoughtful. Now and then, he perceived that he had used
a wrong word, as was shown, by his impatient gestures, and he tried to
recall the proper one; he talked to himself about all sorts of things.
If he was spoken to so as to attract his attention strongly, and the
questions were simple, and easily answered, his replies were rational.
He talked no more sensibly about one thing than another. Even to-day,
although not so apparent as yesterday, there was always, amid his
delirious ravings, a certain semblance of good sense. The utterance is,
as it were, spasmodic; more abrupt and jerky than on the day before;
words are pronounced rapidly and incompletely, [196]. ► Out
of his head, at times; at night, quite delirious, talked almost
constantly; got out of bed; looked for his clothes, in order to dress
himself; ran all about the room, trying to get into the other patients’
beds; at last, after he had gone on in this way a good while, it was
found necessary to put him in a strait-waistcoat, to which he submitted
quietly. Next day, his eyes were wide open; his expression was rather
wild. When alone, he talked much to himself, sometimes calmly, sometimes
violently; generally about wine, which he would not take part in
smuggling into the hospital. Sometimes he fancied himself at his
foundry, at home, or in the street, etc. His conversation was a mixture
of sense and extravagance. When his attention was strongly attracted to
anything, what he said was at first rational, then he would suddenly
drop the subject, and begin to talk about something quite different,
mixing together in this way a great many ideas and incoherent words.
But, on peremptorily recalling his thoughts to the topic gambolled from,
he would again answer pertinently and sensibly for awhile, [184]. ►
After trying in vain to find his clothes, he got up and walked the room,
but with hesitating step, and feeling about with his hands, like one
groping in the dark; runs against the stove, the beds, etc.; sometimes
uttered incoherent words, or called for his wife, or his friends; wanted
to talk about his business; often said “My wife! my wife!”
more frequently was silent. At last he became quiet, soon got into bed
again, and seemed to fall into a deep sleep. After awhile, would rouse
up and begin to act in the same way again. Once he was about to urinate
upon the stand which held the patient’s diet-drink. Sometimes he spoke
rationally, but generally poured forth unintelligible words in a
trembling and hurried voice. He talked to those about him, and made the
most incongruous demands upon them. He was not violent, and threatened
nobody. Now and then he put his hands to his forehead or abdomen, his
face contracted, he groaned and exclaimed “My God! my God!”
then began to cry like a child. Sometimes he was observed to lie down on
his abdomen. Constant sleeplessness. Delirium and restlessness, worse at
night. Recognized those about him, and maintained a long conversation
tolerably well; but, when a drunken patient happened to say to him, in
an offensive tone, “They will put you in a strait-waistcoat, you
old lunatic!” he became furious, stamped his feet, shook his fists,
wept, etc.; poured forth a multitude of words. In a quarter of an hour,
he became quiet again, and soon after slept a little. Being visited by
his wife, he at first received her roughly, and loaded her with abuse;
then suddenly began to caress her, and seemed greatly pleased with the
visit, [186]. ► His facial expression does not at all
times correspond with the character of the conversation he is engaged
in, nor with the other external influences which surround him. Thus, he
will sometimes burst out laughing, while speaking of some very ordinary
matter, or look serious and thoughful while answering the most simple
question. Yet quite often his face wears its natural expression. At
first he would not be taken for a victim of cerebral disease; he is very
quiet, and seems quite rational. But gradually as the conversation
proceeds, he loses the thread of his ideas, and talks mere nonsense, or
keeps contradicting himself most shockingly. When alone, he does not
talk to himself. He eats, drinks, urinates, and goes to stool, as
properly as anybody; sometimes he gets up to visit other patients in the
next ward; the latter do not at first perceive that his intellect is at
all affected, but when the hint is given them by the physicians, they
soon declare that he talks wildly, [196].
► Rose from bed in the night, and
tied to get into his neighbor’s bed; took a cravat from me; a pair of
trousers from another; walked as if groping in the dark, and bruised
himself against the stove, washstand, etc.; talked to himself; at last
the warden managed to get him into bed again. Quiet during the rest of
the night; but every now and then wanted his neighbors to give him
“his drop.” Next day, face
wild; eyes wide open; by turns fixed and wandering. Abdomen nowhere
painful on pressure. Kept trying to get up in order to take his “drop,” and called to the other patients,
“Make haste and get up.”
His limbs were tremulous. His constant efforts to get out of bed made it
necessary to put him in a strait-waistcoat; he struggled hard against
it, screamed, howled, uttered threats; became red with passion, and
tried in every way to break loose; called out to the passers by and
begged them to set him free. During the day, he was sometimes quiet and
silent; sometimes furious at the thought of being tied. He was never
sleepy. Fancied, at times, that he heard delightful music, which soothed
his sorrows, [187]. ► His utterance is drawling, difficult and
frequently broken; so that he talks like a child who has not learned to
speak plainly; instead of “oui,”
for example, he says “ui.”
Sometimes he cannot get hold of the right word; then he frets and
worries himself, and now and then becomes quite desperate. This
difficulty seems to be met with chiefly in the case of substantives; with adjectives, the intellect
and organs of speech deal more easily, [195].
► His colic was almost cured, when
the nurses and his fellow-patients observed that his intellect was
affected, and that he wandered in his speech, but to so slight an
extent, that the aberration escaped the notice of the medical
attendants. He lay quiet, with closed eyes, as if in a peaceful sleep;
when pinched as hard as possible he showed no sign of sensibility. When
the fingers, hands, forearms, or arms were placed in any position, and
left unsupported, they remained there for a few seconds, then oscillated
a little, and fell back on the bed. This experiment was repeated several
times, with the same result. The body was rigid, so that he could not be
made to sit upright, and his attention could not be aroused for a
moment. Suddenly he began to make a great variety of the most expressive
gestures, at first with one arm only, but soon the other arm, the legs,
trunk, head and face, all took part in these movements, which were
performed in co-ordination, and seemed to express the same idea. Every
moment he appeared to be possessed by the most dissimilar and grotesque
conceptions, which he embodied in this way. At the same time he cried
out, and tried to speak, but was prevented by the liquid in his mouth.
If, at this time, he was gently pinched, he showed by an abrupt
movement, that he felt acutely. The upper limbs no longer remained fixed
in any position they were placed in; they were too stiff to be moved at
all. After the movements had lasted some minutes, they were succeeded by
a state of absolute quietude, and he lay just as he done before they
commenced; then they began again, to be again followed by a period of
repose, and so on, in alternation. Now, he indicated, by a significant
gesture, that he desired to eat and drink; now he suddenly spouted the
ptisan, which he had been holding in his mouth, all over the surgeon in
attendance. Then came an interval of quiet and unconsciousness, during
which his limbs remained in any position they were made to assume. Next
was witnessed a series of the most expressive gestures, although he kept
his eyes shut, and uttered not a single word. Their significance is
constantly varying; sometimes they seem to indicate rage, sometimes
despair, sometimes entreaty, sometimes the most profound meditation. At
last he suddenly opened his eyes, called for drink; then seemed to fall
asleep again while swallowing his ptisan, but is easily aroused by being
spoken to; then he opened his eyes fully, began to talk about his
mother, and while rambling volubly from one incoherent idea to another,
still answered questions rationally. Left to himself, he talked
incessantly, followed up an idea for a minute or two, and then left it
for another. At one time he became much agitated, tried to get up,
addressed the doctors, abused them, tried to strike and bite the nurses
when restrained; and at last, shouting and struggling, was put into a
strait-waistcoat. On the second day of the delirium, he was lying quiet,
with eyes half open. Soon he aroused completely, began to talk very
fast, and at first answered questions rationally. But after conversing a
few minutes, his thoughts became confused, and he began to ramble and
talk to himself. By attracting his attention again, he could be brought
back to the original topic, then got off the track again, and so forth;
so that his talk was a mixture of sense and nonsense. He was frequently
influenced by the most grotesque delusions; he fancied that a cavalry
regiment was about to fall upon him; or that he was in the presence of
his employer, who was finding fault with him. His face looked rather
wild; at times he bursts out laughing. His head was full of notions. He
recollected very well what happened a month or more ago; but could not
call to mind things that occurred only a few days before his delirium
set in, [199]. ► He seems to recognize familiar
acquaintances; sometimes he talks unintelligibly to himself; more
frequently is silent. When his attention is strongly attracted, he at
first answers rationally; then suddenly utters some words without
meaning or connection; afterwards takes up again the thread of logical
thought. He usually waits some time before answering a question; it
seems as if it required great mental exertion for him to understand what
is said, [195]. [60.] ►
During the evening of the seventh day, suddenly great restlessness; he
hears everywhere threatening voices, officers come to arrest him, to
seize his furniture, and to expel him from his lodgings; the voices come
from the pillow, the mattress; they enter by the window, where he sees
people, and they consult about him with closed doors; he gets up, looks
for his clothing, wants to run away, to his lodge, etc. The next morning
he sits at the edge of his bed, the eyes fixed steadily to the window,
or looking about in a restless manner; he recognizes all persons around
him, replies correctly to all questions, but cannot recollect what he
ate yesterday, whether his bowels moved or not, and looks to his wife in
an interrogating manner; insists, though as if afraid to acknowledge it,
on the reality of his hallucinations, [537].
► He had, some time back, illusions
of vision; saw castles, palaces, but these have ceased since he entered
the hospital, [509]. ► Has a cachectic look; cheeks hollow and
pale; yellow complexion; no signs of lead poisoning, aside from the
cerebral symptoms. Yet this case is not one of encephalopathy in any
form. It is a chronic affection of the mind, which we must try to
describe in order to characterize it. He is absorbed in himself; pays no
attention to what goes on about him. He does not converse with his
neighbors; when questioned he answers rationally, indeed, but briefly.
When his wife and children come to see him, he pays no attention to
them, and goes on with what he is about, as if they were not present;
yet he says he is fond of them, and seems to think a good deal of their
visits. He has never shown any irritability. When in bed he keeps moving
his hands; folds and unfolds the coverings. Sometimes he gets up and
wanders about the room, now singing, now gradually quickening his steps,
as if impelled by an irresistible force, now stopping and turning about
abruptly; his gait is uncertain. His behavior is nearly the same day and
night, [509]. ► The patient imagined that he was
constantly followed, and that he heard voices coming from the chimney
(temperature 36.5°, pulse 64, regular and small, good appetite, clean
tongue, very slight colic, no paralysis, with a blue line on the gum,
with constipation); this man after a few days wished to leave the
hospital and go home, because he was convinced that there were fiends in
the building that pursued him and sought his life, [441]. ► The
cerebral functions were strangely disturbed. Various hallucinations
showed themselves. Erroneous ideas were formed as to the identity of
herself and those around her, and the situation in which she was placed.
A mild, but easily controlled form of delirium arose. For some days this
alternated with a different state; if she attempted to speak to those
around her, she seemed to have difficulty in finding language, and
before she could succeed in conveying her meaning, the idea fled, and a
jumble of unconnected words was all that escaped her. And now the
condition of the nervous system became one of apathy. Impressions were
made upon the senses with difficulty, and speedily vanished; her
attention was no sooner gained than it was lost, and she remained for
hours at once in a state of semi-consciousness. At this stage, phenomena
were occasionally present approximating to those described as
characteristic of catalepsy and ecstasy. On placing the arms, for
example, extended in any particular position, they remained fixed in it
for some minutes, and then slowly relaxed and sunk down; at other times
she would remain for a considerable period unconscious of anything
around her, but with her eyes fixed and gazing intently before her. On
one occasion, after the action of a purgative, she was for about twelve
hours quite insensible. She lived for five weeks after the appearance of
the cerebral symptoms, and for four months from the time when her health
began to break down. Before her death she was seized with convulsions of
an epileptiform character, which continued with short intervals for
forty-eight hours, and upon the cessation of which she passed into a
state of complete coma and died, [56].
► Often getting out of bed and
wishing to go home; sometimes not recognizing his family; thought they
were conspiring to kill him, [290].
► Hallucinations of mind, she seemed
to see her dead husband and child in a tree out of the window, [449]. ►
He saw many colored figures in constant motion, as soon as he closed his
eyes, [537]. ►
Delusions at night, [387]. ► On first recovering consciousness the
people in the ward seemed to him as small as dolls, and the opposite of
the room seemed to be sunk forty feet below his own level. These
erroneous impressions he was conscious of at the time, and they
disappeared in four days, [327]. [70.] ►
Random talking at night, [191]. ► The colic was not severe, and was getting
better under treatment by Croton tig., when the face was observed to
have a singular expression. There was an astonished look, as if
something extraordinary had happened; and he had a thoughtful
appearance, which was not borne out by his answers to our questions. In
the evening delirium set in, and lasted all night. Next day he talked
incessantly about everything. At 9 A.M. he had an attack of epilepsy,
followed by deep coma, which lasted almost all day, and during which he
only uttered a few cries, [191]. ► Talked rather wildly; got out of bed; ran
about the room; called to his companions; wanted to go to work, etc.;
yet complained that he could not see his way, and knocked against the
beds, stoves, etc., [187]. ► He could keep up a long conversation
quite well, but would wander in his speech every now and then.
Generally, when he was talking, no one would imagine his brain was
affected, if they did not see his strait-waistcoat. When he began to
rave, the facial muscles were seen to twitch and contract spasmodically,
giving his face a hideous appearance, [172].
► Talks to himself a good deal,
mostly about his business, his associates, or his relatives. When his
attention is forcibly attracted, and he is asked where he feels pain, he
places one hand on the middle of his forehead, and the other on his
stomach, and utters a few words which indicate unmistakably the seat of
suffering; but if he is not talked with, so as to keep his thoughts
fixed, his mind begins to wander, or he falls asleep, [190]. ► Got
up to go to stool, but, instead of returning to bed, began walking the
room with bare feet, and talking incoherently on all sorts of subjects;
imagined he was going to be poisoned; that his bed was full of ants,
etc., [173]. ►
Talked at random all night; rose and tried to get into the neighbor’s
beds; at times screamed out; abused the nurse furiously, [177]. ►
Talked all night, mostly about how he should destroy his fastenings, [184]. ►
Talked all day long; made attempts to get out of his strait-waistcoat, [184]. ►
At night, does nothing but babble; now and then jumps out of bed,
swears, blusters, so that he has to be put into a strait-waistcoat, [200]. [80.]
► In conversation he sometimes talks
sense and sometimes rambles, [197].
► Does nothing but babble all night;
wants to get out of bed every now and then, [198]. ►
Language extravagant, [186]. ► Searching about on the floor, [440]. ►
The patients were in a state of nervous irritability, difficult to
describe. In their beds they were restless and unable to find an easy
position, and after many useless efforts they fell back exhausted and
worn out, with pain; the respiration became hurried; the heart’s action
was painful and violent; groans and sighs were uttered with vehemence,
whilst abundant tears ran from their cheeks; symptoms greatly resembling
those of hysteria. These tears, sighs, and groans were not occasioned by
the violence of the pains, and often coincided with the abatement of the
suffering, [266]. ► Very nervous, unwilling to be touched or
have anything done for her, [303].
► Hasty temper, [269]. ►
Manner frightened and nervous, [386].
► Mind obviously much impaired, [360]. ►
Mind very much affected, so that he scarcely knew his old acquaintances,
[498]. [90.]
► When alone he sometimes talks to
himself, but is generally silent and quiet, though he never closes his
eyes, and thus he remains all day long, [198].
► Between the paroxysms she is
silent, and generally calm and quiet, sometimes rather restless, [128]. ►
Is generally silent; when he speaks his words are disconnected, but his
articulation is good, although the voice is somewhat broken. When he
becomes interested in anything talked about, he sometimes answers
rationally, sometimes sits facing his questioner in silence, without
looking at him. At times he answers a simple question quite wide of the
mark, [201]. ►
He was quiet and silent when left to himself, [72]. ► Rather
quieter in the evening than in the morning, but seems melancholy, owing
to a terrified feeling, which he cannot shake off, [198]. ► Lies
quiet in bed; when spoken to sometimes makes no answer; sometimes begins
a sentence slowly, and hurries over the rest of it, showing signs of bad
temper, [200]. ► He lies quiet in bed, seldom moving;
groaning now and then. When asked a question, he answers in
monosyllables, generally to the point, but sometimes at random. When
alone he seldom talks to himself, and then only utters a few incoherent
and trivial words, [161]. ► Patient lay perfectly quiet in bed, and
constantly murmured unintelligible words, [444].
► When spoken to, he looks everywhere
but at his questioner, [188]. ► Lively, good-humored (after two hours), [4]. [100.] ►
Good humored, lively, that soon disappeared, in the afternoon, [4]. ►
Loss of the natural vivacity, [30].
► Silent, melancholy, [187]. ►
Repeated attacks of melancholy, of a religious character, [92]. ►
Profound melancholy, [39]. ► He fell into a state of melancholy, with
stupefaction, great dulness of the senses, coma, [42]. ►
Melancholy and dejections; great anguish and depression of spirits, [305]. ►
Mind greatly depressed (second day), [82].
► Seemed rather melancholy, [173]. ►
Would shed tears from slight causes, [228].
[110.] ►
Sad, despairing mood, [145]. ► Sadness, [483].
► He is very sad, has no desire to
live, and has threatened to destroy himself, and is very fault-finding
with his friends, [499]. ► That vivacity which was a marked feature
of his character was gone, and sadness and silence sat enthroned, [280]. ►
His mental condition was sad enough; given over to thoughts of life-long
pain, he imagined his disease incurable, and gave way to the gloomy
thoughts which the fear of death excited, and to repinings caused by the
dread of his journey to Valencia, [350].
► There was great mental prostration,
approaching hypochondriasis, [271].
► Great despondency, [317]. ► Great
mental and physical depression, [446].
► Much depressed, fearing to die if
left alone, [440]. ► Despondency, [21], [332],
[578]. [120.]
► Much depressed in spirits and
unwilling to see any one, [303]. ► Great gloom and dejection of mind, [315]. ►
Gloom of mind, [316]. ► His spirits greatly depressed; if a
neighbor called to see him, he would burst into tears and be unable to
speak for some time, [304]. ► Deep-settled gloominess of mind, [317]. ►
Spirits depressed, [276], [292]. ►
Exceedingly depressed, [297]. ► Longing for a distant friend, in the
evening, before falling asleep, [3].
► Avoids society, [153]. ►
Naturally cheerful, his spirits became depressed, and he became very
nervous, [299]. [130.] ►
Extreme apprehension, [43]. ► Anxiety, with difficult respiration, so
that the patient seemed almost suffocated from fright; he could get his
breath only while sitting, [235]. ► Anxiety, [9],
[233], [266], [350].
► Anxiety and sighing, [5]. ► Extreme
anxiety, [11], [50], [305].
► Frightful anxiety, [26]. ► Great
anxiety, during which she could not take a sufficiently deep breath,
with increased palpitation (after three-quarters of an hour), [84]. ►
Discouragement, [28]. ► Distrust, [114].
► Fear; easily frightened, [114]. [140.]
► Uneasiness, [56]. ►
Extreme restlessness, [51]. ► Discontented with his circumstances in
the morning, on waking, [3]. ► Ennui; was out of sorts with everything
(after six hours), [4]. ► Ennui, quiet reserve, in the afternoon, [4]. ►
Hypochondriacal and peevish, [331].
► Very much out of humor and weary of
life, [3]. ►
Out of humor, all work frets her, in the afternoon, [4]. ►
Irritable, [271]. ► Great irritability, [145]. [150.]
► The child was sensitive and
fretful, whenever any one approached; it cried and whined a great deal
and would not play, [575]. ► Morose mood, disinclination to talk to
any one, and frequent attempts to escape; this morose mood at times
alternated with the most lively mood, during which he laughed
immoderately, without reason, accompanied by hallucinations of mind, [442]. ►
Complete indifference, with sopor, alternating with extreme difficulty
of breathing and headache, [235]. ► Intellectual. ►
Extremely active, absorbed in work, thoughtful, in the afternoon, [5]. ►
Mental indolence, [483]. ► Less inclination to work, [519]. ► Very
indolent, disinclined to work, [4].
► The desire and ability for work
were very much diminished (third day), [5].
► Indolent, weary (after
three-quarters of an hour), [4]. ► Disinclined to talk, after dinner, [4]. [160.]
► No disposition to work, [259]. ►
Indisposition to labor and conversation, [305].
► The intelligence and power of
utterance vary curiously at different times, [195]. ► The
intellect more or less disturbed, [305].
► Thought and speech difficult, [339]. ►
Cannot fix his thoughts upon anything, [174].
► Reading is very tiresome to him; he
mistakes one word for another, and skips the lines, [188]. ►►
*Slow of perception, [356].
► His answers are slow and short, [153]. ►
Intellect seemed affected; answers not so rational, [188]. [170.]
► Answers slowly, and in a weak
voice, [519]. ► Answers at random, [174]. ►
Answers questions vaguely; and admits that his memory is much impaired, [517]. ►
He answers well enough, but his evening made a mistake in giving his
age, [521]. ►
Sometimes utters a few broken, disconnected words, [174]. ►
Memory much impaired; sometimes does not know his own bed, [509]. ►►
*Loss of memory, so that while talking, he was often unable to find the
proper word, [339]. ► *Loss of memory, [114], [444],
[483], [487], [518].
► *Memory difficult, [429]. ►
Remarkable weakness of memory, [92].
[180.] ►
Loss of mind, [25]. ► Intellect clear, but memory seems much
impaired, [170]. ► Weakness of memory (fourth day), [4], [7],
[80]. ►
Has been much troubled for twenty years by a singular cerebral
affection, returning at intervals, and characterized by restlessness,
constant inclination to move about, loss of memory, and indecision. This
mental condition has several times obliged him to enter a hospital. He
does not recollect either the dates of the duration of these seizures,
nor anything respecting their treatment, [50b].
► Loss of understanding, [186]. ►
Memory is much impaired, [356]. ► Slightly lethargic, [353]. ►
*Apathetic condition, [520].
► Gradually increasing apathy,
[519]. ►
Her mind at first was stupid, [343].
[190.] ►
Tendency to stupor, [106]. ► Mental torpidity; answers slow and
stammering, [578]. ► Intellect obscure, [534]. ► Takes
no notice of anything about him, unless aroused by pain or an attendant,
[290]. ►
While hard at work, and apparently in the best of health, he suddenly
fell back unconscious; no spasms, foaming at the mouth, etc., [178]. ►
She fell down unconscious while attempting to walk, soon, [274]. ► Loss
of all senses, with constantly recurring, most violent general
convulsions, [11]. ► For the most part unconscious, but at
intervals he answered promptly the questions that were put to him, [439]. ►
For the most part unconscious, but occasionally had lucid intervals, [440]. ►
Scarcely recognizes his nurse, [174].
[200.] ► Loss of consciousness, [483], [511].
► Loss of consciousness, occasionally
returning, followed by epileptiform spasms, with bloody froth from the
mouth; succeeding these attacks there was left-sided paralysis of motion
and sensation, [577].
[Microscopical examination of the brain showed granular fatty
degeneration of the walls of the vessels and deposition of large
quantities of amyloid corpuscles.] ►
Lies motionless and crouched together; eyes shut or half shut. Often
snores as if in the deepest sleep. Now and then he utters some dull
grunts; makes some automatic movements; half opens his eyes and shuts
them directly. Cannot be roused by the sharpest questioning; has to be
pinched hard; then he opens his eyes, at first partially, then widely;
and finally, without answering, falls back into lethargy. Sometimes,
when annoyed by these experiments, he turns in bed, and makes a dull
grunting, indicative of his displeasure, [187].
► After working hard all day, feeling
quite well, he took supper as usual, but on rising from table suddenly
fell back unconscious, without spasms, foaming at the mouth, or
paralysis. Was taken to bed, and in about three-quarters of an hour
recovered consciousness, but was somewhat delirious. Next day this wild
delirium continued, but nevertheless he walked to the hospital with some
companions, [196]. ► Suddenly fell back unconscious, without
convulsions or foam at the mouth. Two minutes after he raised himself up
and said, “It is nothing.” Next moment he was trying to reach
the bed of one of his fellow-patients, when, for the second time he
suddenly fell unconscious, without the slightest spasm, either then or
afterwards; he was carried to bed in this condition, and remained in a
state of profound coma, from which he could not be roused for two or
three hours. At the end of this time he opened his eyes, now and then,
and talked about all sorts of things, imagined he was spoken to,
answered his neighbors, and then relapsed into somnolency. This
alternation of coma and loquacity lasted a great part of the night. Next
morning he was found apparently fast asleep; at the end of an hour he
appeared to rouse up suddenly, half opened his eyes, uttered a great
many disconnected words, tossed about in bed, rose and urinated on his
pillows, put his head down and lifted his buttocks in the air, then
relapsed into coma. If he was pinched or very sharply spoken to, during
his lethargy, he at first would open his eyes and then shut them
directly; at last, by continuing the use of stimulants, he was made to
open his eyes completely; they were fixed and wild-looking. If now he
was questioned earnestly, he would look hard at the questioner, without
being able to utter a single word, or else he would stammer out some
disconnected words, and then fall back into coma, [176]. ► Lies
on his back, crouched together, quiet and sleepy, eyes shut or half
shut. At times snores as if sound asleep. Rouses from this state of
sopor only to utter a few inarticulate words in a weak voice, half open
his eyes and immediately close them again. When stimulated, as by
pinching, he at first gives evidence of no sensation whatever, but if
the stimulation is kept up for some time, he slowly draws away the part
operated on, and then opens his eyes, which look quite wild; rolls them
about stupidly, and returns no answer when questioned; falling back
finally into lethargy. His features are motionless and inexpressive; at
times, some automatic movements of the head and arms take place, [177]. ►
Intellectual torpor, [533].
► Stupefaction and deep coma, [11]. ►
He fell down stupefied, [24]. ► Complete stupefaction and insensibility,
from which, however, he could be roused by loud cries, but gradually
sank back into his former condition, murmuring unintelligible words, [339]. [210.]
► Seems to be always asleep; it is
hard to rouse him from this state of coma, and he only wakes enough to
half open his eyes, and answer everything with yes or no, indistinctly
uttered in a loud voice, then turns over in bed and falls asleep again.
If, after being well shaken, he is asked where he feels pain, he points
slowly towards the umbilicus; he says and does everything very slowly, [189]. ►
Alternate coma and delirium, [480].
► Coma, lasting three weeks, [483]. ►
Coma, [39], [385], [440].
► Coma succeeded, at 4 P.M., by
another epileptic fit, soon after which he begins to talk at random, [200]. ►
About midnight, after a violent epileptic fit, he fell into a profoundly
comatose state, from which he could not be aroused. Lay doubled up in
bed, with eyes closed and pupils widely dilated, [201]. ► Coma,
with at times automatic movements of hands to the occiput, [339]. ►
The nurse said that the coma supervened upon a violent epileptic fit,
which seized the patient about midnight, [189].
► Comatose state, from which he
arouses when spoken to, [520].® 2000
Article