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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with its long axis at 50°. The irides do not respond to light or accommodation stimuli. The ophthalmoscopic examination reveals clear media in each eye, with the signs of regressive optic neuritis. The swelling of the nerves, however, is still very marked, both papille projecting into the fundi to the extent of 2 or 3 mm. The nerves are gray and succulent looking, and the retinal arteries and veins are tortuous and cord like. One nerve is not more swollen than the other. There are no extravasations or hemor- rhages, or traces of either of these in the fundi. The patient is totally blind. Other examinations were made by Dr. Posey, but they did not demonstrate anything different from what is above recorded. Eventually an operation was performed in this case by Dr. W. W. Keen, by whom the patient was seen in consultation with Dr. Mills. Al- though a tumor at the base was considered, it was thought for several reasons that the lesion was probably in or beneath the facial centre. In the first place sufficient consideration was not given to the tinnitus and deafness. Owing to the fact that a peripheral operation had been performed early for the relief of the latter, it was supposed that the impairment and disturbance of hearing were due to causes which were at least in part peripheral. The facial monospasm was much like that which is observed in the case of subcortical or cortical growth. It is interesting to note that some disease of the cortex was present at the position of the trephining, as demonstrated at