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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    from the meninges, although the tuberculous growths are found in the substance of the brain, and may have granulation areas and miliary tu- bercles about their border. It must be recalled, however, that syphilitic tumors of the cerebel- lum are rare. The growth of a tubercle may be either rapid or slow. Tuberculous tumors may give no clin- ical symptoms. This has been explained by the slowness of the growth, the cerebellum gradually accommodating itself to increased pressure. Very recently, however, Raubitschek was able to demonstrate the persistence of the axis cylinders in tuberculous growths by Bielchowsky’s meth- od. This, as in multiple sclerosis, explains the persistence of function. Surgically, it is not ad- visable to operate upon these growths, as they are multiple and cannot be removed. Glioma.—The cerebellum is a favorite seat for glioma. Five of our cerebellar growths were of such nature. Gliomata are almost always pri- mary and single, although metastasis has been noted. The tumor may be as small as a cherry or as large as a hen’s egg; it always grows from the brain substance itself, and is of slow growth. It is not sharply defined, but infiltrates into the brain substance, and it is difficult to tell it from normal brain tissue, although sometimes there