A Case of So-Called Laryngeal Vertigo (Classic Reprint)

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Excerpt from A Case of So-Called Laryngeal VertigoI desire to note here a peculiarity in Mr. H.'s manner of coughing which struck me whenever I had occasion to see him for one of his periodical attacks of coughing. It seems as if he had acquired a habit of choking over his cough whenever the paroxysm is even moderately severe. The chin is depressed so as almost to touch the sternum, head and shoulders stoop forward, the face becomes turgid and red, the superficial veins swell out, and the cough consists of a deep inspiration, succeeded by a number of short, spasmodic expiratory movements follow ing each other in rapid succession, and differing only from per tussis in lacking the long sibilant inspiration which commonly ends the paroxysm in the latter.During April of this year Mr. H. Had an attack ofintluenza, and following this, after the febrile stage had passed, a very vio lent cough. At first there were all the symptoms of diffuse bronchial catarrh, sonorous rales over the entire chest, muco purulent expectoration, etc. Later on the rales gradually van iehed, the expectoration diminished, and finally at the end of about ten days ceased altogether, but the cough remained more violent than ever, and assumed a more spasmodic character. The peculiar habit referred to above was still more marked. The cough came in paroxysms, during both day and night, seri onely interfering with his sleep. It commenced with tickling in the region of the throat and larynx, became at once v'ery vio lent, accompanied by turgidity of head and neck, lasting from some seconds to several minutes, and ended usually with the expectoration of a small lump of glassy mucus, sometimes, how ever, without any expectoration. This state of things continued for about a week, sinapisms, Opiates, expectorants, and inhala tions being administered without any apparent effect on the par oxysms of coughing. One evening during a violent coughing spell, which occurred while Mr. H. Was standing upright, he suddenly dropped to the ¿oor utterly unconscious. I was called in at once and arrived a few minutes after the seizure. There had been no premonitory signs. The cough commenced with the usual tickling in the upper air-passages, but did not appar ently differ from any of the preceding paroxysms. There had been no giddiness. The patient did not feel that anything nu4 A case OF SO - called laryngeal vertigo.About the PublisherForgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.comThis book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.