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If there is no atheromatous condition of the coronary arteries, and arterial disease is not a cause of the valvular lesion, compensation may be broken by some sudden extra strain put on the heart, either muscular or by some acute sickness or a necessary anesthetic and operation.
There was extensive haemorrhage into the brain, as shown by post-mortem examination, the cerebral vessels being atheromatous. The fatal haemorrhage had occurred into the lateral ventricles, from rupture of one of the middle cerebral arteries. I am, my dear Sir, Yours very truly, WILLIAM W. GULL.
Dermoids are found in the palate and pharynx, and open dermoids of the conjunctiva are classified by Sutton with the moles. According to Senn, Barker collected sixteen dermoid tumors of the tongue. Bryk successfully removed a tumor of this nature the size of a fist. Wellington Gray removed an enormous lingual dermoid from the mouth of a negro. It contained 40 ounces of atheromatous material.
Therefore dissection of your talented son would doubtless reveal at this moment either steatonatous or atheromatous deposits in the cerebral blood-vessels, or an encysted abscess, probably of no very recent origin, or, at the least, considerable inspissation, and opacity, of the membranes of the encephalon, or more or less pulpy disorganisation of one or other of the hemispheres of the brain: good morning!!"
Atheromatous degeneration is most common in the large arterial trunks, and the changes are most marked at the arch of the aorta, opposite the flexures of joints, at the mouths of large branches, and at parts where the vessel lies in contact with bone. The presence of diseased patches in the wall of an artery diminishes its elasticity and favours aneurysmal dilatation.
If this chronic endocarditis develops with a general arteriosclerosis, the wine inflammation soon occurs in the aorta, and, following the endarteritis in the aorta, atheromatous deposits may also occur there. Chronic endocarditis of the walls of the heart, not in immediate continuity with endocarditis of the valves, is perhaps not liable to occur, except with myocarditis.
Fatty degeneration may occur in the papillary growths with necrotic changes, and this may lead to the formation of atheromatous ulcers which may later become covered with lime deposits, and then a hard calcareous ring may form.
I observed, however, during our single interview, that his reflexes were feeble, his arcus senilis well marked, and his arteries atheromatous all signs that his constitution was in an unsatisfactory condition, and that a sudden crisis might be apprehended. Having thrown this side-light upon my narrative, I can now resume the statement of my own personal experiences.
Bramann reported a case in which a dermoid cyst of small size was situated over the sternum at the junction of the manubrium with the gladiolus, and a similar cyst in the neck near the left cornu of the hyoid bone. Chitten removed a dermoid from the sternum of a female of thirty-nine, the cyst containing 11 ounces of atheromatous material. In the Museum of St.
But the drug is contraindicated in cases associated with cerebral hyperaemia, in atheromatous conditions of the arteries, and in the so-called plethoric state Beta's Memoabilien, March 24, 1881. By ALFRED STILLE, M.D. The treatment of simple acute articular rheumatism may be abandoned to palliatives and nature.
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