Archives of the Middlesex Hospital Volume 13-15

Archives of the Middlesex Hospital Volume 13-15

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1908 edition. Excerpt: ...parts in its neighbourhood; sometimes a peculiar position of the eyes in which one eyeball is turned downwards and inwards and the other upwards and outwards is observed. This is termed " Skew deviation." "Forced movements " in which the patient tends to rotate round the long axis of his body may sometimes be seen. Tremors are often seen. The head sometimes assumes a striking position; it becomes tilted in such a way that the ear is drawn down towards the shoulder on the side opposite the tumour, while the face is turned upwards towards the side of the growth. The reaction of the knee jerks differs a good deal in different cases. When the tumour is situated in the middle lobe the patients generally incline to fall backwards; they also tend to assume the "Cerebellar attitude" (Hughlings Jackson) characterized by retraction of the head, arching of the back, and extension of the legs. They may be also subject to the occurrence of convulsive tetanus-like seizures. Tumours At The Angle Of The Pons And Cerebellum. Among the most interesting of the tumours of the brain from the point of view of localization are those situated in the angle between the pons and cerebellum. They cause localizing symptoms by pressing on three sets of structures, viz., cranial nerves, the cerebellum, and the pons and medulla. The cranial nerves which are most likely to be hurt are the trigeminal (5th), abducens (6th), and the auditory (8th). The facial (7th) also sometimes shews signs of weakness, but it seems to stand injury better than the others, for it may apparently be slowly compressed to a considerable degree without losing its function. Of all these nerves the one which generally fails first is the auditory, The patient finds he...show more

Product details

  • Paperback | 130 pages
  • 189 x 246 x 7mm | 245g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236949382
  • 9781236949387