New-York tribune. [volume] (New York [N.Y.]) 1866-1924, 1874-07-02
HYDROPHOBIA.a

a.
MoNDs STUDY OF THE BRAIN
The case of Koderiek I. EGtwistle, the printer
who fancied that he had hydrOphobia. died IL
Bellevue Hospital yesterday, one Offering many
peculiar aud typicaly interesting points which were
revealed after careful and thorough examination. The
post-mertem examination made only eight hours
after death In order to get early view OF the brain
and Its appendages that few changes could occur
in their appearance that had not been induced
by the disease The history Of the seemed very
clear but there circumstance thar pointed to
hydropnobia except the fact Entwstle had been
bitten by dog The fear Of fatal result aud hori-
bic death so worked upon mind already weakened By In
temperance that many things peculiar TO hydrophobia
experienced. The most prominent the dread
OF water AT times be declared that he could not swal-
low the water which he urged to
drink. and when forced to try he would shrek
and become so violent that the attendants could
scarcely manage him. Yet when he became calm and
actually tried to swallow the water the muscles OF the
throat did contract and, except that the CLOTHS
oversenstiye. he could drink well as he ever could
In his there truly the fear OF water. This Is
not present in bydrophoba, but there is the ae-
tual inability 10 swallow The hydrophobic
patient wishes 10 drink but the moment he
attempts to do spasm Of the muscles
of the throat makes it an mpossibity and sometimes
this spasm is violent that the fluid that the patient
attempts to swallow is thrown out OF the mouth with
great force There was none Of that regularity
that constant in hydrOphobia- In fact had IL not
been for the patients having been bitten by the dog,
and death following. Eawiste's must have been
set down one of delirium tremens.
Drs. Frank II. Hamilton. Isaac E. Taylor James p
Wood, William I. Lusk, A. W. Knox. and DR.. Chaplin,
all physicians and surgeons Of Bellevue, were
present during the entire interval aud care
fully noted his actions. These were not the
frantic and painful contortlOns plainly Wis
ible in the Mccormick and Butler cases.
He would leap of the ant lash around the room,
requiring two three orderes to hold him, and he
would cry out that there with pistol in the
threatening shoot him, and make of other
Wild expressions and crazy actions more suggestive OF
derium tremens than hydrOphOba. These actions
1erce enough, however 10 render 1t Impossible for
the physicians 10 treat him as they wished.
and he accordingly put in straight jacket and
strapped to the posts OF his cot IN the CELL At O'Clock
choroform was freely administered, and his insane
freaks ceased. During his quieter moments he was
quite rational, and answered questions readily and in
diligently Again, in the midst of rational
mood he would become very abusive OF the PHYSICIANS
swore in the viest terms at DIR. Chaplin and
at one time yelled out: You pious, sanctimOnious
PhIistines, you we got here to XII me-" There
also very little frothing at the month. not more than
might have been produced by his violent actions IN
normal state The effect Of the ehoroform passed of
about 4 o'clock, when morphine administered by
bypodermic injections, and he became quiet, sinking
finally into restless sleep. At o'clock he
had become so quiet that the physicians
concluded to relieve him OF the straight jacket.
The man. who had in health presented a somewhat
muscular appearance being five feet and about II inches
high, with well developed arms and chest, had now
fallen away to a skeleton, the muscles being
shrunken. the angles Of the chestbones being plainly
percepble and his face exhibiting an emacation SINH
lar 10 that produced by starvation. He had hardly
he'd wa
apparent DE- Chaplin that he was failing rapidly when
at 7 O'Clock he awOke his enforced sleep. He no
longer evnced desire to dash about the room as be-
FORE lay his cot and with every evidence of ply
steal exhaustion. At y N. he sunk into sleep which
lasted until $50 m. when he died. At the last
moment there noticeable convunon greater than
that which accompanies death In ordinary cases Inc
limbs and muscles suddenly sfeneG, The jaw fell. and
the man, having endured 20 hours OF PAIN was dead
The house surgeons for unexplained reason, pro-
ceeded to perform the autopsy themselves and were IN
the OF sewing the parts together when Coroner "o
man and his deputy DR.. Vim. Shine. arrived. Dr. Ham,
mond was present with the hospital staff dur
ing the autopsy. which was performed by DR.. A.
W. Knox Dr. ]. W. 6. Arnold supervising and directing.
In the arynx were found evidences OF recent nham-
matory action and quantity Of tenacious frothy mucus
Evidences of old disease OF the vscera we're found but
nothing abnormal that could be connected with the
features Of The CASE
Dr. Arnold also secured the frothy matter in the lar
vet and lnOculated young back-and tan dog, which
he obtained the Streets with IL, making small n-
cision in the side Of the animal aud putting therein be-
tween 20 and 80 grains OF the The animal was
then secured in Dr. ArnOlds private laboratory. over
the Morgue where he says lie VIII keep 1t until It dies
Of old age or hydrophobia
EXAMINATION BY DIR. HAMMOND.
Dr. william A. Hammond who had made the careful
Investigations in the Mccormick case which have
70 . hnz of Tflrp-
phobia and the peculiar workings Of the mysterious
disease took charge Of EnWIse's brain and Its appen
dages BE made q thorough and careful examination
of the parts involved in the disease and arrived
AZ positive conclusions which prove that the
disease could not have been hydrophobia. The skull
cap having been removed DR. Hammond found that the
bood-yesses OF the dura-mater-that is, the outer
membrane OF the brain next TO the sku-were injected
and enlarged. The whole membrane was intensely con-
pested and 30 filled with the results of the infammatory
action that it amounted 10 engorgemeDt. The blood
vessels Of the next inner membrane toward the BRAIN
the pamater also enlarged and stood out all over
IFS surface as though they had been raised by some
peculiar process The membrane next to the BRAIN the
arachnoid, which is the most delicate Of all,
and which usually shows any signs OF infammatory
action was also intensely congested The infammatOry
action in these membranes the cause OF the violent
couvulsive movements which seemed 10 be general and
not confined 10 any particular set Of muscles Beneath
the arachuoid membrane and next 70 the BRAIN was
large amount Of serum, the watery portion OF the
blood. In all kinds OF inrsmnafOry acuon
the serum is poured cot through the coats OF the
delicate bood-vesses which are filed almost 70 burst
ing by the great rush OF blood the uhamed part This
large ouaptity OF had found Its In between
the eopyoutlons OF the BRAIN and had worked into the
chambers or ventriees, which normally contain more or
less fluid.
Though Entwistle had been dead only eighf honrs'
aauh.ss Of he
bod hacome very much softened everywhere. 1t was
1.nknr dawn hnndlfnD n. and tho coFtical