Excerpt from The Journal of Mental Science, Vol. 17: Published by Authority of the Medico-Psychological Association; April, 1871
The following observations are mainly the result of the author's experience during twenty years in the Somerset County Asylum; many of them have appeared from time to time in his annual reports of that institution.
In the first annual report for 1848 it is stated that the general paralysis of the insane, a very fatal complication of insanity, was found to have been in fatal cases dependent on, or accompanied by, inflammation of the Spinal cord. This has in a great degree guided the treatment, and one of the cases seemed to be benefited by cupping, repeated blistering of the spine, &c. The patient, from his importunity, was probably allowed to get up too soon, and he had a relapse and died. On examination after death, extensive inflammation of the membranes of the spinal cord and brain was found to exist also inflammation of the lungs, which so frequently cuts short life in those long confined to the recumbent position. It is remarkable that percussion over the spine did not give any evidence of pain, but on the application of a hot Sponge pain was immediately manifested.
Previous experience in a very extensive and varied field of observation at the St. Marylebone Infirmary, and with the co-operation of some very able and accurate inquirers, led the writer to the conclusion - which remains unchanged - that so far as our means of observation have existed, we have been unable to detect any special disease in the brains of the insane.
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