A case of permanent conjugate deviation of the eyes and head, the result of a lesion limited to the sixth nucleus : with remarks on associated lateral movements of the eyeballs, and rotation of the head and neck / by A. Hughes Bennett and Thomas Savill.
- Alexander Hughes Bennett
- Date:
- 1889
Licence: Public Domain Mark
Credit: A case of permanent conjugate deviation of the eyes and head, the result of a lesion limited to the sixth nucleus : with remarks on associated lateral movements of the eyeballs, and rotation of the head and neck / by A. Hughes Bennett and Thomas Savill. 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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![[Reprinted from Brain, Vol. XLV., July 1889.] A CASE OF PBEMANENT CONjtj^ATE DEVIATION OF THE EYES AND HEAD, THE EESULT OF A LESION LIMITED TO THE SIXTH NU- CLEUS; AVITH KEMAEKS ON ASSOCIATED LATEEAL MOVEMENTS OF THE EYEBALLS, AND EOTATION OF THE HEAD AND NECK. BY A. HUGHES BENNETT, M.D., AND THOMAS SAVILL, M.D. The following case is one of great interest, and of ex- treme rarity. The patient during life suffered from 'perma- nent conjugate deviation of the eyeballs and head. This was diagnosed before death to be the result of a lesion of the sixth nucleus on one side. On post-mortem examina- tion a minute softening was found occupying, and limited to, that centre. Elizabeth G., aged sixty-seven, a domestic servant, was ad- mitted into the Paddington Infirmary on October 11th, 1887. Her family history was unimportant. The patient had always enjoyed good health till the present illness. In August, 1887, having gone to bed one evening in her usual condition, she awoke next morning to find that she was afflicted with complete paralysis of the left upper extremity, otherwise she was quite well. This condition remained unchanged for two months, when one morn- ing on waking, she found in addition, that both her eyes were turned towards the right side, so that she could see nothing in front of her, and that her head was fixedly rotated towards the right side. Three days afterwards she came into the Infirmary. On October 13th her condition was briefly as follows. The patient was weak and confined to bed. Her intelligence appeared nor- mal, and she replied to all questions with accuracy. There was very trifling paresis of the left side of the face. The left upper extremity was motionless throughout, from the shoulder down- wards. There was no muscular wasting, and the sensibility of the skin was everywhere intact. The reaction of the tendons and muscles to percussion was comparatively increased in the left](https://iiif.wellcomecollection.org/image/b22279453_0003.jp2/full/800%2C/0/default.jpg)
