TRACHEOTOMY AND LARYNGEAL INJECTIONS. 
95 
with loud sounds during inspiration, therefore it was enu¬ 
merated as one of the causes of roaring, but Gunther, Senior, 
doubts this, as he did not see it set in upon intentionally 
irritating the upper laryngeal nerve. That such a spasm 
can be brought about is not to be questioned, at least spora¬ 
dic cases in horses have been observed. The spasmodic at¬ 
tacks recur sometimes daily, even while the horse is at work. 
Connected with them are cough and suffocating spells, some¬ 
times restlessness, anxiety, shivering, distended nostrils, rat¬ 
tling in the throat, stretching of the head, staring look, 
staggering movements and collapse. Characteristic is the 
sudden abatement of the attacks. 
In the autopsy of a horse, Degive found a cyst as large 
as a hen’s, egg, filled with colloid matter, at the base of the 
epiglottis, which, on account of its position, could not close 
the glottis, but may have called forth reflex spasmodic con¬ 
traction. 
To obviate threatened asphyxia, tracheotomy must be 
performed. Repeated attacks of spasms must be alleviated 
by hot water inhalations, or by a solution of kali, bromide, 
as prescribed for asthma, and by tracheal injections of the 
same, or a solution of cocaine or morphia. Toxic symptoms 
which may take place will disappear at once upon inhaling 
several drops of nitrate of amyl.—(Anacker). 
As to therapeutic treatment, I am not in possession of any 
specific remedy, with which this manifold complicated ail¬ 
ment can be checked or influenced much. In benign cases, 
the owner, with the aid of his infallible neighbor, will with 
few exceptions, help himself. The malignant or complicated 
cases must be treated according to circumstances. It would 
be difficult to give a formula which would hold good for 
even a few days. There is, however, a discovery made known, 
which is worth communicating to those who believe that 
nature tolerates support, when rendered in a judicious man¬ 
ner and at the proper time. 
At a recent meeting of the German Naturalists and 
Physicians at Heidelberg, colleague Dr. Jelkmann, of the 
Section for Veterinary Medicine, reported on “ Laryngo- 
