An Alcoholic Woman Who Couldn't Swallow

Lydia P. Howell

doi:10.1080/21548331.1986.11704933

The Treatment of the Insane in Pavilions without Detention [Le Traitement des Aliénés en “Pavillons Libre”]. (Bull. de la Soc. de Med. Ment. de Belg., February, 1922.) Laruelle, L.

Journal of Mental Science ◽

10.1192/bjp.68.283.419-b ◽

1922 ◽

Vol 68 (283) ◽

pp. 419-420

Author(s):

Marjorie E. Franklin

Keyword(s):

Social Conduct ◽

The City ◽

Alcoholic Woman

The writer's experience shows the need of co-operation between magistrates and alienists. Representations which led to legal investigations were made by the former confederates of an alcoholic woman who was improving rapidly in the sanatorium of Fort-Jaco. The inquiry was conducted in a spirit of antagonism and suspicion which spread discontent among patients. The removal either home or to the asylum was ordered of certain patients well suited to sanatorium care who had not asked to go. These included chronic psychoses without anti-social conduct, paranoias, simple dementias, transitory and curable psychoses, etc. In particular the removal home as mentally fit and wishing to leave was ordered of a blind paraphrenic who made a stereotyped demand for discharge to go to “X, where she had the freedom of the city,” but who remained, though she carried the writer's signed permit, and who refused to depart with her friends. Other cases, unable to exercise volition (e.g., of stupor) were to be certified.

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Neuroendoscopic Removal of Acute Subdural Hematoma with Contusion: Advantages for Elderly Patients

Case Reports in Neurological Medicine ◽

10.1155/2016/2056190 ◽

2016 ◽

Vol 2016 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Ryota Tamura ◽

Yoshiaki Kuroshima ◽

Yoshiki Nakamura

Keyword(s):

Subdural Hematoma ◽

Past History ◽

Brain Infarction ◽

Ct Scanning ◽

Acute Stage ◽

Acute Subdural Hematoma ◽

Case Presentation ◽

Advantages And Disadvantages ◽

Medical Issues ◽

Alcoholic Woman

Background. Large craniotomy for acute subdural hematoma is sometimes too invasive. We report good outcomes for two cases of neuroendoscopic evacuation of hematoma and contusion by 1 burr hole surgery.Case Presentation.Both patients arrived by ambulance at our hospital with disturbed consciousness after falling. Case1was an 81-year-old man who took antiplatelet drugs for brain infarction. Case2was a 73-year-old alcoholic woman. CT scanning showed acute subdural hematoma and frontal contusion in both cases. In the acute stage, glycerol was administered to reduce edema; CTs after 48 and 72 hours showed an increase of subdural hematoma and massive contusion of the frontal lobe. Disturbed consciousness steadily deteriorated. The subdural hematoma and contusion were removed as soon as possible by neuroendoscopy under local anesthesia, because neither patient was a good candidate for large craniotomy considering age and past history. 40%~70% of the hematoma was removed, and the consciousness level improved.Conclusion. Neuroendoscopic removal of acute subdural hematoma and contusion has advantages and disadvantages. For patients with underlying medical issues or other risk factors, it is likely to be effective.

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