It must not be confounded with alcoholic or insane delirium. Reeb, Poncet, and Gross, at Strasburg, and I, myself, at Saint-Quentin, have all observed veritable localised epidemics of this delirium. The delirium may end in collapse. It has sometimes a very harmful effect on the progress of the wounds. Local and General Stupor .
Local stupor is marked by the insensibility of the wound.
A wounded man can finish the detachment of his own limb, which is nearly separated, without showing any pain. We have seen this happen several times. The temperature is lowered, the muscles are soft, flabby, dry, not injected nor secreting. After some days reaction is complete, or gangrene supervenes. One fact is well established, that surgical intervention undertaken in tissues affected with local stupor, and on wounded men with general stupor, does not show good results.