File:The Journal of nervous and mental disease (1874) (14753227566).jpg

English:
A patient with alcoholism: Paralysis of upward movements of the eyes showing widening of the palpebral fissures and lagging behind of the eye-balls when patient endeavors to look up

Identifier: journalofnervous32ameruoft (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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both eyes. The examina-tion at that time showed normal fundi; the pupils were notedas being 3^/2 mm. in size, and the irides responded promptly tolight, but sluggishly upon convergence. No note was madeof any limitation in the extraocular motions or of any unusualposition of the head. Corrected vision was normal in both eyes. The patientcontinual his trade until 3 months ago, when he was compelledto desist on account of attacks of vertigo. These attacks wouldcome on suddenly, without premonitory signs, and were usu-ally induced by change of posture. He had no headache, Annals of Ophthalmology, July 1, 1904. PRESIDENTIAL ADDRESS 50I neither nausea nor vomiting-, and his body weight was wellmaintained. He was mentally depressed, however, most of thetime. The patient denies specific infection, but acknowledgesmasturbation. During 25 years he drank very heavily, beingpractically in a continual state of intoxication the most of thattime; for the past 5 years, however, he avers that he has
Text Appearing After Image:
Fig. 10. Paralysis of upward movements of the eyes showingwidening of the palpebral fissures and laggine behind of the eye-balls when patient endeavors to look up. (Photograph from Dr.Poseys paper.) drunk nothing. He says that he never chewed, but that hehas smoked about l/2 package of tobacco a week since he wasa boy. Although subject to slight rheumatic pain, he has never 502 WILLIAM G. SPILLER had a severe attack of rheumatism or of any other systemicdisease. He has never suffered a traumatism or a fall. Hisfamily history is negative. While sitting quietly upon the bench, waiting his turn topresent himself for examination, the writer noted that the pa-tient presented a peculiar fixity of gaze, which was found tobe occasioned bv the fact that the eyes were kept fixed in theprimary position and that the patient moved them but little toright or left but sat with his gaze directed straight in frontof him. The patient looked anxious and changed the expres-sion of his face but rarely. Cl

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