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formed, but performed too tardily, the patient, however saved
from laryngeal asphyxia, dies, after all, of bronchial asphyxia.
And there are other branches of the pneumogastric nerve that
suffer—the cardiac and the gastric. The heart and the stomach
participate in the partial or complete paralysis of the general
pneumogastric. If the physician observes palpitation as a symp-
tom in some cases of epilepsy, this is explained by being aware
of the excitement of the cardiac branches of the pneumogastric.
In other cases there are backups, eructation, acidity of the
stomach, the effects of excitement of the gastric branches of
this composite nerve, viz., the pneumogastric. Now, as in these
cases there is a morbid action in the heart and stomach, so in
deep epileptic coma, there is failure of the powers of these
organs.
" The pneumogastric nerve is more involved in epilepsy than
it is in other convulsive diseases. For mark, all the phenomena
just described as observed in the former, arc again met with in
the latter, only, of course, modified by the exciting causes and
the conditions of age and sex.
" In infants there is the same or similar action of the muscles
of the neck, and of the larynx, and of respiration. In puerpe-
ral convulsions the symptoms are identically those of epilepsy.
There is a form of epilepsy which I have not yet here noticed.
It is the epilepsy syncopalis. The patient, instead of turning
purple, (with congested face,) turns pale and ghastly. Some-
times this syncope is fatal I So it is in the laryngismus stridulus
of infants. The little patient not unfrequently dies suddenly
— too suddenly to be the effect of asphyxia. Such a case is
cardiac syncopal.
" The laryngismus stridulus is often excited by enteric irritation.
This is also frequently attended by fret of the bladder. Epilepsy
is induced by enteric and by uterine irritation, and is sometimes
attended by involuntary evacuations of the bladder, rectum, &c.
The urine is frequently found morbid in both cases."
Such are the original views of the great Marshall Hall.
On the treatment of all convulsive diseases, and epilepsy in
particular, Dr. Hall advises that excitement and irritants must