On the clinical significance of double optic neuritis in children and young adults, and on the capacity for recovery from symptoms of tumour of the brain / by C.O. Hawthorne, M.D.

  • Hawthorne, C. O. (Charles Oliver), 1858-1949.
Date:
[1899]
Catalogue details

Licence: Public Domain Mark

Credit: On the clinical significance of double optic neuritis in children and young adults, and on the capacity for recovery from symptoms of tumour of the brain / by C.O. Hawthorne, M.D. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    patient—have quite good sight and satisfactory health. No knowledge of tits, nervous disease, or defective sight in any relatives. The reasons for placing this case as one of intracranial tumour have been advanced in the body of the paper (p. 111). The failure of sight without any other suggestion of intra- cranial mischief is remarkable. It is another example of how grave intracranial disease may for a long time produce only slight signs of its existence. CASK 8. Paralysis of sudden onset of right external rectus, also double optic neuritis, but no other evidence of cerebral disease, and no considerable visual defect other than diplopia; patient, a girl of 17 years, somewhat anaemic, but otherwise physical examination normal. Piecovery complete and apparently permanent. Maud E.,1 set. 17, cook, complaining of double vision (June 7, 1898). The diplopia is of a fortnight’s duration; it was of sudden onset, a group of children at whom patient was looking “ suddenly becoming double.” She has no other ground of complaint. Patient has always been healthy, though admits some recent loss of colour, breathlessness on exertion, and unduly long menstrual intervals. She was menstruating at the time the diplopia developed. There is almost complete paralysis of the right external rectus muscle; tested with a flame and coloured glass there is homonymous diplopia increasing to the right; she also recognizes increasing separation of the images to the extreme left, but there is no appreciable defect in the action of the left external rectus. No ptosis or other defect of ocular movement, and pupils equal and with normal reactions. R.V. 6/6 ‘5 Hm. J. 1 at 5 inches. L.V. 6/6 '5 Hm. J. 1 at 5 inches. There is marked optic neuritis in each eye—the disc is moderately swollen, with numerous hemorrhages on the