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Updated: May 29, 2025
Then I said, 'Do you not see that the child is suffering from Opisthotonos? whereupon the first physician stood as one dazed, as if I were trying to trouble his wits by my hard words.
The restlessness in some fevers is an almost perpetual exertion of this kind, excited to relieve some disagreeable sensations; the reciprocal opposite exertions of a wounded worm, the alternate emprosthotonos and opisthotonos of some spasmodic diseases, and the intervals of all convulsions, from whatever cause, seem to be owing to this circumstance of the laws of animation; that great or universal exertion cannot exist at the same time with great or universal sensation, though they can exist reciprocally; which is probably resolvable into the more general law, that the whole sensorial power being expended in one mode of exertion, there is none to spare for any other.
When the muscles of the back become spasmodically contracted, the body is raised from the bed, sometimes to such an extent that the patient rests only on his heels and occiput the position of opisthotonos.
Last of all, when the other channels for the escape of the surplus nerve-force have been filled to overflowing, a yet further and less-used group of muscles is spasmodically affected: the head is thrown back and the spine bent inwards there is a slight degree of what medical men call opisthotonos.
And in this they differ from the successive dissimilar exertions of the retina, mentioned in this section, which resemble in miniature the more violent agitations of the limbs in convulsive diseases, as epilepsy, chorea S. Viti, and opisthotonos; all which diseases are perhaps, at first, the consequence of pain, and have their periods afterwards established by habit.
XL. Epileptic convulsions, as the emprosthotonos and opisthotonos, with the cramp of the calf of the leg, locked jaw, and other cataleptic fits, appear to originate from pain, as some of these patients scream aloud before the convulsion takes place; which seems at first to be an effort to relieve painful sensation, and afterwards an effort to prevent it.
With a strangely fearful haste she pressed her eyes with her fingers; they remained dry; a cry of pain would unburden her soul no sound accompanied the trembling, convulsive breathing. The old servant, who entered after a while, found her lying with her breast upon the sofa pillow, her head thrown violently back," in hysterical opisthotonos.
Sense of suffocation, twitchings of muscles, followed by tetanic convulsions and opisthotonos, each lasting half to two minutes. Mental faculties unaffected, face congested and anxious; eyes staring, lips livid; much thirst. The period of accession of the symptoms varies with the mode of administration of the poison. Symptoms, as a rule, come on soon after food has been taken.
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