658 SPONTANEOUS PERFORATION OF THE 
lymphatic glands, 3. Some of the smaller lymphatic trunks 
terminate in veins. 4. The largest lymphatic trunks terminate 
in the great veins of the neck.—• Med . Chir . Rev. July 1831. 
Spontaneous Perforation of the Right Ventricle 
of the Heart. 
By M. Gaullet, V.S., Bar sur Aube . 
In May 1828, I visited a horse seven years old, that for 
some time past had had many attacks resembling those of epi¬ 
lepsy. During the attack there was great stiffness of the fore 
extremities, and spasm and trembling of the muscles of the 
shoulder, the arm, and the fore arm; the eyes were drawn within 
the socket towards the inner angle, and nothing but the opaque 
cornea could be seen. The horse could not for awhile get up 
without the greatest difficulty, and, when it was forced to attempt 
to rise, it would fall and remain half an hour, with the fore 
limbs stiff, and irregular movements of the jaws : it would then 
get up and eat as usual. 
The horse had been ill a month. The person' to whose care it 
was committed had conceived that there was some affection of 
the chest, and had treated the animal accordingly. He had bled 
him twice, given demulcent drinks, and kept him on low diet. 
At the end of fifteen days he seemed to be perfectly well; he ate 
and drank, and it was thought that he might be moderately 
worked. The owner took him a little way at a very slow pace, 
when arriving at a hill, the declivity of which was rapid, he ob¬ 
served that the horse, in climbing it, breathed more and more 
quickly, until he could proceed no farther. He alighted to ease 
him, and endeavoured to lead him on, butdhat was impossible, 
for the animal could not climb another step> and he was compelled 
to return. It was with much trouble that he led him down the 
hill, but when he had reached the level road he travelled on 
more easily, and without stopping so often as he had done in the 
ascent and descent of the little hill. ' * 
After this trial he was permitted to r£st v some days, and as he 
fed well, and had not lost condition, the oVmer attempted another 
journey in the same direction. When arrived at the little hill, the 
horse again breathed with difficulty, after having proceeded a 
little way, and he could not get beyond the place where he had 
before stopped. He was led back to his stable, and an hour 
afterwards was attacked with a fit. He fell, and lay fifty mi¬ 
nutes, with his fore extremities stretched out in a state of tetanic 
stiffness. He then rose, and began to eat. 
This was the only information I could obtain. Puzzled to dis¬ 
cover the cause of this nervous affection, I adopted an antispas- 
modic mode of treatment, to which I added worm medicines; 
having remarked in the course of my practice, that symptoms 
