The scintillating scotoma or transient functional hemiopia : read before the Newark Medical and Surgical Society, Jan. 19, 1905 / by Charles J. Kipp.

  • Kipp, Charles John.
Date:
1905
Catalogue details

Licence: In copyright

Credit: The scintillating scotoma or transient functional hemiopia : read before the Newark Medical and Surgical Society, Jan. 19, 1905 / by Charles J. Kipp. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    central, and the hemiopic scotomata which cross over the median line have their place of origin in the more peripheral part of the channel, probably in the region of the chiasm; and (3) that the purely monocular sco- toma originates in the optic nerve or the retina. TREATMENT. Gowers says in reference to the treatment of mi- graine : ^Gf any errors in mode of life or defects in gen- eral health can be traced, their removal is the first and most essential step in treatment; of special importance is increased rest, regularity in meals and attention to diet; whatever is known to induce a paroxysm should be carefully avoided. Hot, crowded rooms are espe- cially injurious. If inherited gout is probable, the reg- imen suitable for this should be adopted. In cases with conspicuous pallor in the early stage the drug that has most influence is nitroglycerin given regularly in the interval (migraine) twice or three times a day after food, beginning with a small dose 1/150, 1/180, 1/200 of a grain in 1 per cent, solution of alcohol.” During the attack absolute rest is essential; the re- cumbent posture is generally that in which the patient is most comfortable. Some of my patients think that the attack is short- ened by drinking iced water; others believe that spirits, coffee, tea and other beverages, taken immediately at the beginning of the attack produce a similar result. Others attribute the same result to taking from 10 to 20 drops of valerianate of menthol on a lump of sugar; while others, following the advice of Manz/® believe they have shortened the attack by gently pressing the eyeballs and rubbing the lids over the balls for a few seconds. In view of the great difference in the se- verity and in the duration of the attack at different times in the same person, it is impossible to say how much benefit was derived from any of the measures employed. 10. Manz: Quoted by Schmidt-Rimpler, Die Erkrankungen des Auges im Zusammenhang mit anderen Krankh^Iten, p. 108.
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