New-York tribune., 1886-04-02
MIX. MANNING JDPROVING.

THE CAUSE OK CEIEB AL APoPLEXY AS SHOWN
BY rnE MLDiCAL RECORD.
WAsuINGToN, april 1.-lnQuiry at Mr. Man
nngs hopse to-day eiioed the Information that the Sec
retary Is about the yesterday. DR.. Hamilton
said this afternoon that the patient was improving
slowly and that rapid Improvement in the case OF a
man his condition not TO be expected The hedt-
cat Record III an tce The Cause ad PrognOss OF
Cerebral Apoplexy," VIII say on Saturday
The unfortunate Illness which has attacked Secretary
Manning calls ,c cutiOu t. some OF tho lacta WEcn tuo
mo ern pathnogst nas deyeo! cd, j. still study
with subject OF ccIobi al hemoThage one
investigate is the apparent Increase relayry aid
hDS3i.'y a v o. 'HI m Ut the aYere annual
from ~ Op!cxy per million inhabitants Was 45l. =. while
in 1870 II il 523s. Durng the same periods the
ratio OF deaths diseases Increased FROM 49,
to 24s.d In New York cry TIE total deaths lron ron
apOpe-y ana hemiil gia IN ls74-'15 tnoFnted 10 80
per OF rhe total death ate IN 1881 the percentage
was 1.s Even bearing IN mlnd the fact that more
persons reach the epOrleclic aye now tuan did thry
years ii still remains probable chat apcpleHes are
the increase.
Modern pathology has shown that the primary canse OF
cerebral hemOrrhgcs Is, IN the great ciory or oaees
the bm sting OF military anenri-ns which have deyeIo?ed
the cerebral vessels AS the rcsuf o. 'oca peiarter
The most impor ,aht supplemental cause to TINS Is
plethora with corpuence ana disease o, tLe kuheyS
with the arteTial sclcrDss ofton accompanying IT,
Chacot found nyperrophied heart in 40 per cent OF
Of cerebral hemo1hsec and re1l disease IN J2i2
por inc OF the hillary anerslrs l. hatuIay
the point that snoud most interest the physician nnt
mere little progress has been made We know In general
that tney develop almost solely in persona passed fory
II
ii re sixhs the atherOna OF the arteries pres
cnt may attribute the aneurisrls 70 much e same
cause as The atnerona. viz. degenerauve changes
natural old nge, chronic alcoholism spccln disease
and continual and exposure OF almost all kinds
They develop often IN men, and heredy. as shown
by Iugnlngs jackson and DellalOy undoubtedly plays
IT. part. -
II is still matter Of some doubt whether such thing
as the apoplectic habit exists. Most systematic
writers of ate wears deuy IT, but very evident that
mar of these authorities ener speak by the book or
argue from hospital experience among the poor, who
do not fer from rcTpuleuce. We are ourselves much
inrnned side with TmmermanD, who PAGES apOpeNy
among the prominent complications and seGu"H OF
commence, especially II with II thoIo Is p!ethoia
corpulent man passed the age OF tfty II more
likely, other things being equal, 20 have Grgeneated
arteries and higher arter'a tens on thar spare man.
lie ia in more danger OF an intracrmal hemofrhage.
liable to apopexy. This + disease o. nutrition ard OF
the blood esses Its sonity, exposure aud
intempeIate living IN the DIOadest sense. Whatever
puts delays dePeneatve chan ger and lessons
also the tendency apOpeXy. The prOEnOsis after an
attack relates 10 life and 20 health III the future
sn Duld life he preserved.
Qack onsats, Quiukly recovered from are more favor
able than thDGe coming on slowly. When the attack
without loss OF consciousness was the case
we are told, with Secretary Manning, the pro2nOsis
Quodd rifam il very good. loss of consciousness s
ro'oUnd lasts twenty fOur forty eight hours the
ont !Ook s most OminOns But ono of the worst prog
nosti OF future is the clinical thermometer
progressive lise steady fall o. temperature most
| favorable sign. OF the paralysis, and
aphasa, il tGat exists gives fair indication OF the ex-
OF the lesson. this in connection with history
OF progress during first fortnight after tie attack
will ,el how much OF mental physical restoration can
|