The Northern Daily Times.
Liverpool, Merseyside, England, 1856-05-23 00:00:00

eiue. and several other learned societies. I have
Practice, and have made both classes of tetanus

How many cases of idiopathic tetanus
I have seen four.
. Did they all terminate in lock jaw ?No ;
tti2 one out the number, and they did not prevent
Person swallowing during the whole course of the
thee I have been present during the trial, and heard
svlnPtotns described, and also read the depositions.
From both of those sources, what opinion
draw as to the cause of the death of Cook ? From
convulsive disease.

(3, rove

3rove : Upon what do you found that opinion?
the different symptoms described before the court

-e Coal desitio.
licercl Campbellns interposed, and said it would be better
less should give his opinion on the viva voce
and the depositions generally.
hAlr. Baron Alderson thought that the difference between
31,,,epositions and the evidence was a question for the

„ 40Nl Campbell said, if the learned counsel persisted in
4`laroining him in reference to the depositions_he must go
137L1 them separately.
The examination of the witness was then taken up by
'Ar er eant Shee, as follows—
'
,• Sereant Shee : From what you heare-
..eribek, A the
ofthe symptoms of Cook's healthhave previousld y d
to
e final attack at Rugeley, and the fits and paroxysms,
isrld' the particulars of the post mortem examination, what
3rour opinion?
ii. Witness : From what 1 have heard I should assume
lel to be a man of delicate constitution. That for a long
period he felt himself to be ailing, and for which he had
"ecra under medical treatment. That he had suffered from
That him lungs were diseased, and had an old
*3tanding disease of the throat. That he had led an irre-
gular life, and was Enbject to mental excitement. The
:l•ataination of the body showed the syphilitic taint and
'diseased condition of the body. The lungs were not
alt
from hY, being in a state of emphysumatous or distension
wind. The scars were from syphilitic ulcers. There
as a very unusual appearance of the membranes and
'Dinal marrow. The lining of the aorta was in an unusual
state.

of Sergeant Shee: You have heard the accounts given
Z 4 the attacks which he had during the night, and when
Ve said that he was mad for three minutes, what is the
Inference you draw from those attacks and their periodi-
That they were of a convulsive character.

Air. Sergeant Shee
egree and form?

Are not convulsions very various in
As various as possible.

Shee: Is it not impossible to place some
t the classes described ? It is.
ae : Are there not forms of convulsions
rich patients retain their consciousness ? There are.
Sergeant Shee: Name them. Hysteria.
Are there not also forms of epilep-

Mr• Sergeant Shee

~y? So it is stated

(1 Campbell: I have not met with a case.
rgeant Shee : Would not the patient be liable to
ity? Yes ; and in such a state of system other
,ysical causes, such as moral ones, would cause
Jility, such as any excitement or depression. The
rganised state of the bowels, and vomiting for some
4vs previously, would affect the nervous system of a
6ubjeet like the deceased more than a healthy person; so
-418,3 would the cold and wet more easily affect such a
'ersol), and with such a constitution convulsions would
more likely to supersede. Convulsive attacks are some-
's followed with spasms and rigidity of some parts of
Ddy, assuming sometimes the appearance of tetanic
n, such as the convulsive diseases of infancy, which
xactly tetanus. I agree with Dr. Copland's work
'rday. Worms in children will produce convul•
bh:ns, in adults disease of the brain and spinal cord. Hys-
teria. "Me from chloroform, and eating indigestible food,
do 'cot know of convu'sions from retching.
'll'', Sergeant Shee : Do you agree with Dr. Copland as
'P.o convulsions sometimes ending in death ? Yes.
'r. Sergeant Shee : What is the immediate proximate
of death in such cases ? Asphyxia.
Shce : Do you agree with Dr. Copland as to
recurrence of the symptoms ?
I Campbell : Du you call death from spasms of the

/e.ad v;;