A case of bilateral paralysis of facial and auditory nerves, with left hemiplegia, in the secondary stage of syphilis / by James Carslaw, M.A., M.B., C.M., Assistant to the Professor of Medicine and Clinical Medicine, Glasgow University.

  • Carslaw, James.
Date:
[1897?]
Catalogue details

Licence: Public Domain Mark

Credit: A case of bilateral paralysis of facial and auditory nerves, with left hemiplegia, in the secondary stage of syphilis / by James Carslaw, M.A., M.B., C.M., Assistant to the Professor of Medicine and Clinical Medicine, Glasgow University. 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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    of interest, to the effect that “the task of feeding the patient is found to be a very difficult one.” The patient died after eight days’ acute illness. Fortunately a post-mortem examination was permitted, and the most important facts made out are here summarized from a report by Professor Coats: Softening of right corpus striatum; lungs in the condition indicating lobular pneumonia with gan- grene ; heart normal; kidneys and other abdominal viscera normal. The left petrous bone was split open through the tympanum by Dr. Barr, and the course of the Fallopian Fig. 2.—Facial Nerve in the Aqueduct of Fallopius at the Genu. Longi- tudinal section showing a large haemorrhage in the nerve, and a smaller one proximally ; also engorged bloodvessels. Part of the geniculate ganglion is shown. (Low Power.) canal traced out. Dr. Barr reported that “there was no evidence of middle ear disease of any kind, nor of any bony thickening, there being no encroachment on the capacity of the canal. The facial nerve in its course was somewhat thickened, and had a reddish appearance.” The right petrous bone was decalcified, and its careful microscopical examination resulted in the discovery of important pathological conditions.1 There were numerous small haemorrhages, mainly in and under the 11 am indebted to Dr. R. M. Buchanan for assistance in the microscopical examination.