File:Interstate medical journal (1909) (14780752281).jpg

Identifier: interstatemedica1619unse (find matches)
Title: Interstate medical journal
Year: 1909 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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chas completely subsided. He is rapidly gaining weight and strength andpromises soon to become as vigorous as the patient you have just seen.There is always the possibility, after such a palliative measure, that inthe course of time a second operation may reveal a growth which can thenbe enucleated. CASE III. This young man is a carpenter, 24 years of age. Four yearsago he began having headaches and unsteadiness of gait, and came to theJohns Hopkins Dispensary, where the diagnosis of nervous headaches wasmade. His eyes were examined at the time and nothing abnormal found.During the following years he grew progressively worse and pressure symp-toms became pronounced. Eight weeks ago, in another city, an operationwas performed on the left side of the head, with aspiration of what wassupposed to be a cyst—unquestionably aspiration of the lateral ventricle. ♦Remarks upon cases exhibited before the Johns Hopkins Hospital MedicalSociety, May 3d, 1909. 608 INTERSTATE MEDICAL J< )URNAL
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Fig. 2. Case T. Photograph taken prior to patients discharge from thehospital, to show situation of incision. CUSHIXG: CEREBELLAR TUMOR 609 When he came under our observation the symptoms pointing to a cerebellarlesion were unmistakable. We thought they indicated a right extracerebellar(cerebellopontine) tumor, such a lesion as I will show in one of thesespecimens; but the growth proved to be a left intra-cerebellar cystic tumor—a cystic glio-psammoma about the size of a hens egg, and I suppose actuallya rather benign lesion—which was entirely extirpated two weeks ago. Thiswas a striking illustration of the advisability of a bilateral exposure forthese cerebellar lesions. I think you can see here the typical cross-bow incision by which theapproach is made in these cases (Fig. 4). Unfortunately the patientsvision, even before the first operation was performed, was almost completelylost. Some vision is apparently returning, and he can now count thefingers of the hand, but I fear tha

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