A case of pulsating tumour of the left orbit, consequent upon a fracture of the base of the skull cured by ligature of the left common carotid artery subsequently to injection of perchloride of iron after digital compression and other means of treatment had failed : with remarks and an appendix containing a chronological résumé of recorded cases of intra-orbital aneurism / by Walter Rivington.

  • Rivington, Walter, 1835-1897
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: A case of pulsating tumour of the left orbit, consequent upon a fracture of the base of the skull cured by ligature of the left common carotid artery subsequently to injection of perchloride of iron after digital compression and other means of treatment had failed : with remarks and an appendix containing a chronological résumé of recorded cases of intra-orbital aneurism / by Walter Rivington. Source: Wellcome Collection.

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    eye everted ; ptosis. 16th.—More bleeding. 17lh.—Death. For result of post.mortem see ante, p. 9. The malar wasdetached from the maxillary bone. 16. Dale, Surgton, and References. 1858. Hirschfeld, L. ' Comptes Rendiis de la Sociele de Biologie,' ]85S, t. v., 2 serie, p. 138. Epanchement de Sang dans le Sinus Cuverneux dn Cote Gauche, diagnostique pendant la vie. Dr. Delens, op. cit., p. 75. Holmes, Lectures, ' Lancet,' 18T3, ' Gazette des H&pitaux,' 1859, p. 51. Sex, Age, Side affected. Origin. F, 72. Left. Fall from a carriage on to the pavement. Symptoms and Progress. A large wound at the root of the nose ; very free bleeding. The wound healed a month later without any precursory symptom. She lost the power of raising the left upper eyelid and moving the eyeball. Some exophthalmos ; complete anaesthesia of the ej'elid, ala of the nose, and forehead ; vision normal. Diagnosis on admission in this state into hospital two months after accident.— Efi'usion of blood compressing the motor nerves before their entry into the orbit.'' Treatment and Result. 9th January (second day after admission).—Small blister to left temple. 10th.—Erysipelas of face followed by intense fever ; coma and death on the seventeenth day. Necropsy.—A blood-clot enveloping the third and com- pressing the ophthalmic nerve found in the cavernous sinus, and this clot covered a small circular hole in the carotid, which looked as if it had been punched out and was occupied by a string of decolorised clot about two inches long, passing into the mass of coagulum ; bones sound, 17. Bate, Surgeon, and Reference. 1859. Corner, F. M., Surgeon to the Poplar Hospital. ' Transactions of Hunterian Society,' 1874. Sex, Age, Side affected, Origin. M. 33. Right eye. Fall from aloft on to the deck of a ship, striking the left side of the head against the combings of the hatchway, in March, 1859. Symptoms and Progress. Insensibility, bleeding from ear, and afterwards deafness of left ear, due, it was thought, to fracture of the base of the skull. In May, when about to discharge him, Mr. Corner noticed a fulness of the right eyeball and pulsa- tion at each beat of the heart; loud whizzing bruit audil)le over the head ; bruit double and audible to patient. Pressure on carotid stopped bruit and pulsation. Treatment and Result. May 18tb.—Ligature of right common carotid ; symptoms at once arrested. Before'the end of the day the bruit returned, but not the pulsation. Twelve