File:The Journal of nervous and mental disease (1874) (14776575004).jpg

Identifier: journalofnervous43ameruoft (find matches)
Title: The Journal of nervous and mental disease
Year: 1874 (1870s)
Authors: American Neurological Association
Subjects: Nervous system Psychology, Pathological
Publisher: Baltimore (etc.) Williams & Wilkins (etc.)
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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he right and to the left, and in obliquedirections. Since this date the child has not been seen, although efforts have 542 PHILADELPHIA XEUROLOGICAL SOCIETY been made to secure an examination.! It is known, however, that the childat the present time is in good condition. We regret to state that no expertexamination of the cardio-vascular system was made. There was, however,no apparent lesion of any of the bloodvessels. Efforts to obtain a Wasser-mann test were ineffectual. In summary the ocular conditions primarily were: Complete exteriorophthalmoplegia, without loss of the levator action (absence of ptosis), noinvolvement of the interior ocular muscles supplied by the third nerve (irisand ciliary muscle) ; normal ophthalmoscopic appearances : doubtful contrac-tion of the right visual field, but certainly no hemianopsia. The first evi-dence of recovery was observed in the left internus, followed by recovery ofthe right internus; the abducens action continuing to be defective. The next
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recovery of motion occurred i»ractically at tlic same time in the upward anddownward movements, with slight return of the torsion movement. Ulti-mately, between two and three months after the onset of the ophthalmoplegia,there was practically entire restoration of ocular movements, with only aslight limitation, about lo degrees, in the downward rotation. In general terms it may be said that hemorrhage in the corpora (;uad- 1 Since this report was made the chilrl has been examined ; the ocularrotations are normal in all respects. PHILADELPHIA NEUROLOGICAL SOCIETY 543 rigemina, the result of coughing, should be regarded as a possible etiologicfactor in the palsy, and in this regard the possible or probable effect of con-genital syphilis should be considered, although none of the stigmata of thiscondition was present. Hemorrhage may occur in the spasms of whooping cough, but in thesecircumMances an infectious disease is present, and it is impossible to excludethe possibility of a locali

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