Remarks on the routine use of the ophthalmoscope in cerebral disease / by J. Hughlings Jackson.

  • Jackson, J. Hughlings (John Hughlings), 1835-1911.
Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: Remarks on the routine use of the ophthalmoscope in cerebral disease / by J. Hughlings Jackson. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    ^- In the following cases, without ophthalmoscopical exa- mination, we could never have inferred that the cerebellar abscess which was found post-mortem had produced any changes in the patient's discs. I saw this woman by Mr. Maunder's permission. I take the report from the Mirror of the Lancet, March 29, 1873 .— For the notes of the first of the subjoined cases we are indebted to Mr. Wallace Drew. S. B , aet. 16, admitted May 25, 1872. The pa- tient, a fair, delicate-looking girl, stated that about a fort- night before admission she had earache, which was soon followed by giddiness and discharge from the ear. The discharge and giddiness continued up to the time of admis- sion. Previous to this she had always been healthy. She had scarlet fever and measles when a child, and small-pox six months ago, from which she completely recovered. No history of injury ; no history or signs of syphilis. On admission there was a thick yellow discharge from the left ear, and she complained of deafness, frequent attacks of violent retching and vomiting, and said her * head felt going round and round.' She had great pain * all over her head,' which was increased by pressure over the mastoid process. Temperature normal. May 28th. — Condition and symptoms unaltered. Ophthalmoscopic examination disclosed double optic neu- ritis. She passed urine in the bed during the night. June 5.—The nurse states that at 7 a.m. *she gave a scream, and a stupor came over her, from which she could not be roused. The eyeballs and eyelids kept moving dur- ing the attack.' 6th.—At 4 a.m. patient had a fit, described by the nurse as ' clenching of the hands and feet and foaming at the mouth,' which lasted about four minutes. She did