File:Interstate medical journal (1909) (14783894425).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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any of the extrinsic muscles of eithereyeball. No ptosis. The eyes are closed readily and tightly on com-mand. There is a swelling of the discs of two and one-half diopters inboth eyes. The veins are engorged. There is edema. The fields arenormal. Vision is good. Nystagmus is present constantly. It is notmore when the eyes are moved in one direction than in the other, and ishorizontal. The facial innervation on the two sides is equal. He has a markedcracked pot sound, especially at the frontoparietal suture. Some ♦Reported to the St. Louis Neurological Society. BUSS AND CARSON: BRAIN TUMOR 419 separation of the sutures can be made out and the head gives some im-pression of a hydrocephalic shape. During the two weeks following the time the above notes were madethe patient was examined nearly every day, but his symptoms changedbut very little. At first it was thought that he had deficient hearing onthe right side and he complained of a tinnitus in the right ear which Fourth ventricle
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Tumor of the Cerebellum. he said was growing worse. But clearing out a mass of cerumen anddirt caused a disappearance of symptoms. The boy had scabies and head lice when he came to the hospital andit took some days to get him cleaned up. At times he complained of double vision but it was transitory and itwas not possible to establish essential weakness of any of the ocular 420 INTERSTATE MEDICAL JOURNAL muscles. He also at times seemed to have an inequality in innervationin his face. The left side seemed weaker in response to voluntary effortbut stronger in emotional movement. But this varied and could not bealways demonstrated. The inner canthus of the right eye seemed widerthan the left and the right eye at time more prominent, but this alsovaried. The sutures widened perceptibly while he was under observation andthis natural decompression no doubt explained why he suffered verylittle with headache and why his discs did not swell more. In fact hisdiscs were swollen less ten days aft

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