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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    The patellar reflex was lost on both sides; even when sitting on the edge of the bed with reiniorce- ment there was no response. The Achilles jerk was not present on either side; the Babinski re- flex could not be obtained on either side; there was no ankle clonus. The heel to knee test did not reveal ataxia. Sensation for touch and pain was normal. At the time of this examination the gait was not ataxic with eyes open; it was slight- ly so when the eyes were closed. ‘There was no sway when standing erect, either with the eyes open or closed. No hemiasynergia was present on either side; Koenig’s sign was also absent on both sides. The operation was performed by Dr. Frazier on March 13, 1904. The bone overlying the left lobe of the cerebellum was very thin and the dura was unusually tense. Immediately after the dura was opened the hemisphere protruded to a much greater degree than usual. No adhesions were found either between the skull and dura or between the dura and cerebellum. The latter did not pulsate. A thorough exploration of the left hemisphere failed to reveal the presence of a tu- mor. As a palliative procedure one third of the cerebellar hemisphere was removed. ‘The pa- tient’s condition immediately after the operation caused some anxiety, but after intravenous injec- tion and mild stimulation the patient improved rapidly and spent a comfortable night. The wound healed by first intention. On March 27th the patient’s condition was noted as being greatly improved. His whole disposition had changed;