Tumors of the cerebellum / by Charles K. Mills [and others].

Date:
1905
Catalogue details

Licence: In copyright

Credit: Tumors of the cerebellum / by Charles K. Mills [and others]. Source: Wellcome Collection.

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    Fremitus, both local and tactile, were slightly in- creased. Various examinations showed ataxia, this present to some extent in the upper extremi- ties as well as markedly present in the lower. No Romberg sign was noted. The examination by Dr. Spiller given below covers, however, the im- portant points in his neurological symptomatol- ogy. His pupils were dilated and there was a suggestion of photophobia. The patient complained of severe headache, locating the pain in the frontoparietal region. Tapping with the finger elicited pain all over the head, this being especially marked over the tem- peroparietal portion on the left. No scars or other evidences of injury were discovered. Shortly after admission while suffering from severe headache, the patient’s pulse became ex- ceedingly irregular, both as to volume and rhythm, and its rate was greatly decreased and weakened. Eye examination of the patient was made by Dr. G. E. de Schweinitz and Dr. John T. Carpen- ter. The examination made March 8th showed the following: V. of O. D. */,, of O. 5S. °/;.5. The amplitude of accommodation of each eye is 12 D. The pupils are round and the irides react prompt- ly to light and accommodation and convergence. With the exception of a slight esophoria, there is no defect of muscle balance and no diplopia. The ophthalmoscope reveals the following conditions: Right eye papillitis (choked disc), the apex of the swelling being 4 D., the vessels on the sur- face of the disc 1% D. higher. The nerve edges