Report of a case of cyst of the cerebellum / by John M. Swan, M.D., Philadelphia, pathologist to St. Mary's Hospital.

  • Swan, John M. (John Mumford), 1870-1949
Date:
[1905]
Catalogue details

Licence: In copyright

Credit: Report of a case of cyst of the cerebellum / by John M. Swan, M.D., Philadelphia, pathologist to St. Mary's Hospital. Source: Wellcome Collection.

    4/12 (page 2)
    eruption appearing like acne and there were many acne pimples on the chest and back. The pupils were dilated, the right more than the left, and re¬ acted to light and accommodation. Nystagmus was present. There was paresis of the right ex¬ ternal rectus muscle and the patient could not count fingers correctly with the right eye. The tongue was coated and protruded to the left. The teeth were covered with sordes. There was no enlarge¬ ment of the lymphnodes. There was no paresis of the muscles of the face. There was some stiffness in the muscles of the neck and of the back and some stiffness in the muscles of the extremities. There was no difference in the grip of the two sides of the body. The plantar reflexes and the knee jerks were absent; there was no clonus, and no evidence of the presence of Babinski’s sign; but Kernig’s sign was present on both sides of the body. The temperature was 990, the pulse 88 and the respirations 20 per minute on admission. Ex¬ amination of the lungs gave no abnormal signs, except a slightly higher pitched percussion note at the right apex than at the left. The apex beat of the heart was neither visible nor palpable. The area of cardiac dulness was bounded by the third interspace, the left edge of the sternum, the mid- clavicular line, and the fifth interspace. There were no adventitious sounds but both diastolic sounds at the base of the heart were accentuated. The liver and the spleen were normal. There were no areas of abdominal tenderness. Urine Examination.—Color, amber; specific grav¬ ity, 1026; reaction, acid; sediment, flocculent. Mi¬ croscopically, leucocytes and amorphous urates were present; no casts were found. Chemically, albumin and sugar were absent. Blood Count.—Erythrocytes, 5,980,000; leucocy¬ tes, 12,640; haemoglobin, 70 per cent. No differ¬ ential count was made.