Selected essays and monographs : translations and reprints from various sources.

Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Selected essays and monographs : translations and reprints from various sources. Source: Wellcome Collection.

    150/476 (page 134)
    We^-preserved red blood corpuscles. In places near the boidei of the cavity, one sees the deposit of a homogeneous fiueiy granular substance, which stains readily with eosin. This substance is seen usually in connection with blood vessels, and is apparently the same as that which accompanies the vessels running in the anterior fissure (Fig. X., a). In sections through the lower portion of the lumbar enlarge- ment, the gray matter is normal, containing a great many large, well-stained ganglion cells and normal nerve fibres. The white tracts in the lumbar enlargements present practi- cally the same condition as that described in the thoracic region. A short review of this case may help us to keep in mind what seem to be its important features :— The patient, a man 33 years old, acknowledged to having had gonorrhoea, but denied any syphilitic infection ; he began to complain of intense headache about one year before being admitted into the Hospital. In January, 1889, he consulted Dr. Hiram Woods on account of double vision. He was at that time found to have paralysis of the right external rectus muscle ; this paralysis was completely cured under the use of iodide of potassium. In May of the same year he again visited Dr. Woods, who discovered a weakness of the superior oblique muscle of the left eye, the other muscles of both eyes acting normally. There were no ophthalmoscopic changes in the fundus of either eye. Dr. Woods then lost sight of him, and the patient applied for admission to the Hospital on the 13th of November, 1889, two weeks before his death. He was then unable to give an account of himself, but his friends said that he had been suffering for about a year with very severe headaches, and with difficulty of also that he had complained from time to time of some vision numbness on the right side of his face. He had stopped work a month before, and had been in bed three weeks. The examina- tion showed that the patient had ptosis on the left side, the left pupil was dilated and fixed, the left eye-ball could only be moved outwards; i.e., there was complete paralysis of the left third and fourth nerves. The right eye showed no abnormality. There was no optic neuritis. Sensation on the right side of face seemed somewhat duller than on left, and the muscles on the whole right side of the body were much weaker than those on the left side. The deep reflexes were everywhere exaggerated.