ECLAMPSIA. CONVULSIONS. SPASMS.

Definition: functional convulsions from peripheral irritation. From

dentition, helminths, uterine disease, nursing (anæmia). Treatment.

Injuries to cranial bone.

Eclampsia (convulsions) is difficult to define as distinct from

epilepsy, the present tendency however appears to be to apply this term

to cases in which the spasms are of a purely functional nature as far as

the brain is concerned and caused by peripheral nervous irritation.

Whereas in epilepsy there is some organic disease or disorder of the

brain itself. Therefore the convulsions of anæmia, of teething, and of

parasitism, would come under this heading being curable by the removal

of the distant source of irritation, while the spasmodic seizures, that

are due to central nervous lesions and are not exclusively dependent on

peripheral irritation would be classed as epilepsy. In other words

reflex epilepsies with no central brain disorganization would be classed

as convulsions.

_Eclampsia from_ =Dentition= is seen especially in young cats, dogs and

pigs when cutting-teeth, and may be obviated by lancing the gums,

extracting diseased or milk teeth entangled on the crowns of their

successors, and by a slight laxative with bromides.

_Eclampsia from_ =Helminthiasis= has been already referred to under

epilepsy. The main object is the expulsion of the worms, after which

nerve sedatives and tonics will be valuable.

_Eclampsia from_ =Uterine Disease= has been noticed by Albrecht, in cows

shortly after calving, the symptoms being spasms of the neck, persistent

extension or turning of the head, grinding of the teeth, loss of

consciousness, convulsive movements of the legs, rolling of the eyes,

and slow recovery. The same symptoms have been observed in goats and

have been supposed to depend on a reflex from the irritated womb.

Another supposable cause is the absorption of toxic products from the

womb and vagina. Manifestly the removal of the after birth and the

disinfection of the womb, should be here employed along with the

ordinary nerve sedatives.

_Eclampsia in_ =Nursing Female Dogs= has long been attributed to anæmia

by English veterinarians. It occurs especially in high bred bitches,

when nursing a large litter and some weeks after parturition when the

puppies have grown large and vigorous, with proportionately increased

demands on the maternal source of supply. The dam shows an emaciated

aspect, with restless anxious eyes, a wearied expression, and a

generally exhausted appearance. There is weakness and swaying behind, or

complete inability to use the limbs, the animal goes down, trembles

violently and shows clonic spasms of the extensors of the legs, the

neck, the back, the face and the eye. Breathing is accelerated,

stertorous and labored, the heart beats violently the mucous membranes

are congested, and the mouth is opened with convulsive movements of the

jaws and throat. The attack is readily distinguished from epilepsy, by

the retention of sensation, and by the absence of involuntary passages

from the bowels, or kidneys. Recovery is likely to be secured if the

puppies or most of them are removed early enough and the bitch sustained

by nourishing food, and tonics. The spasms may be combatted by the

antispasmodics and nerve sedatives employed in epilepsy. Chloroform,

morphia, phenacetin, acetanilid, urethane have been specially commended.

Beef teas, cod liver oil, and iron may be resorted to and free outdoor

exercise and sunshine should be secured.

General convulsions are common in connection with direct injury to the

brain and more particularly of its coverings, (cranial bones, meninges).

In such cases the irritation which otherwise starts at a distance and

reaches the brain through the afferent nerves, or the modification of

the circulation acts directly on the gray matter. It is interesting to

note in this connection that the evacuation of the cerebral fluid, which

removes the soft support of the water cushion and allows the brain to

come in contact with the hard bony walls, determines an access of

convulsions. In cases of convulsions attendant on mechanical injury to

the cranium surgical interference will be in order.

Text book of veterinary medicine, Volume 3 (of 5) · 第 21 / 294 题