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.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    —Extreme ptosis; no congestion of eyeball, wbich was recovering its move- ments ; cornea misty; still a line of chemosis. June 2tfth.—Eyeball in orbit; ptosis nearly gone ; movements nearly perfect; vision lost. 30. Date, Surgeon, a7id Reference. ^867. Bell, Joseph, Lecturer on Surgery, Edinburgh. 'Ed. Med. Journ.,' Julj', 1867, p. 36. Case of Pulsating Tumour of the Orbit cured by Ligature of the Common Carotid Artery. Sex, Age, Side affected, Origin. M. 42. Left orbit. Knocked down by an omnibus thirteen months before being seen by Mr. Bell. Lower jaw fractured, and head cut. Si/mptoms and Progress. Deep scar on left eyebrow. Since accident occasional paroxysms of intense headache; confusion and noise in head. A month after accident protrusion of left eyeball began, and steadily increased. Six months after- wards his sight began to fail rapidly. When seen by Mr. Bell he bad extreme proptosis; both eyelids stretched and everted, especially the lower one; chemosed pad of conjunctiva ; exposed cornea dim and lustreless. A tumour existed in the orbit, pulsating, compressible, and very soft. One specially rounded tumour just above the ball projected in the shape and size of a filbert, and was very soft. The supra-orbital artery and vein were both much enlarged and tortuous; the artery nearly as large as the radial, pulsated feebly. Well-marked bruit distressingly audible to the patient was heard over the head and neck. Pulsation and bruit ceased on compressing the carotid. ^ Treatment and Result. Being almost blind with the right eye owing to a corneal nebula he was exceedingly anxious for operation. April 15th.-Left carotid tied - three hours after operation pulsation almost gone. In three days pulsation gone entirely. Cured with fair vision. ^ 31. Bate, Surgeon, and References. V ^^M J?;^' . Pr '''■^^ °f Cincinnati. ' New York Medical Record,' April 15th, 1868, vol. iii. No. 52, p. 75. Abstract (here given), by Dr. Noyes, ' New York Med. Jour.,' ]869. 665 Sex, Age, Side affected. Origin. M. 20. Left eye. Had a blow and depression of skull two and a half inches long from vertex to left frontal boss, seven months before entering the hospital, June ]5th, 1867. ^ Symptoms and Progress. Immediately afterwards the eyeball protruded. When examined the external vessels of the left eye were very much increased in number „„d size; pulsation and thrill very strong. By ophthalmoscope the retinal vessels seemed much enlarged and tortuous, the optic nerve swollen the borders ill-defined, grey in colour, and speckled by minute ecch mos along the veins some extravasations were seen, and the whole appearance was that of neuro-retinitis. Fpeurance