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 right. On several examinations the patient showed distinct asynergia in the left lower ex- tremity. The symptom was not, however, uni- formly present, and on at least one occasion some asynergia seemed to be present in the right. The Babinski response was present on the right; both knee jerks were absent and the tendon and mus- cle jerks in the upper and lower extremities were generally depressed. Apparently the movements of both external straight muscles were at times impaired, although the report of Dr. de Schwein- itz showed abducens weakness only on the left. On the negative side nystagmus was absent, as were also involvement of the fifth, seventh, or other cranial nerves, and of disturbances of sen- sation. The patient continued to suffer greatly from headache, vertigo, nausea, and vomiting, the optic neuritis increasing and becoming of the highest grade. Eye examinations were made by Dr. G. E. de Schweinitz, who reported as follows: December 8, 1903, the vision of each eye equals hand move- ments. The pupils react sluggishly to light and convergence. There is a history of diplopia and there probably is paresis of the left external rec- tus, but the double images cannot be elicited, and this is inferred only from the failure of rotation in the line of the direction of the action of the left externus. The ophthalmoscope reveals the following conditions: in the right eye there is a high grade of papillitis (choked disc), the apex of the swelling being 7 D. It is intensely in- jected, and the sloping margins of the elevation