| OCR Text |
Show CHAP. XII. CONTRACTION OF THE PLATYSMA. 301 They exhibited sotne trepirlation, but no great terror. In only four of the ·a es was the platysma vi ibly contracted; and it did not begin to contract until the patients began to cry. The mn. cle seemed to contract at the moment of each cl p-drawn inspiration; so that it is very doubtful whether the contraction depended at all on the emotion of fear. In a fifth case, the patient, who was not chloroformed, was much terrified; and his platysma was n1ore forcibly and persistently contracted than in the other cases. But even here there is room for doubt, for the muscle which appeared to be unusually developed, was seen by Dr. Ogle to contract as the man moved his head from the pillow, after the operation was over. As I felt much perplexed why, in any case, a superficial muscle on the neck should be especially affected by fear, I applied to my many obliging correspondents for information about the contraction of this muscle under other circumstances. It would be superfluous to give all the answers which I have received. They show that this muscle acts, often in a variable manner and degree, under many different conditions. It is violently contracted in hydrophobia, and in a somewhat less degree in lockjaw; sometimes in a marked tnanner during the insensibility from chloroform. Dr. W. Ogle ob erved two male patients, suffering from such difficulty in breathing, that the trachea had to be opened, and in both the platysma was strongly contracted. One of these men overheard the conversation of the surgeons surrounding him, and when he was able to speak; declared that he had not been frightened. In some other cases of extreme difficulty of respiration, though not requiring tracheotomy, observed by Drs. Ogle and Langstaff, the platysma was not contracted. |
