Volume 1

Glasgow hospital reports / edited for the committee by George S. Middleton [and others].

Date:
1898-1901
Catalogue details

Licence: In copyright

Credit: Glasgow hospital reports / edited for the committee by George S. Middleton [and others]. 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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    left when he attempts to do so. Food lodges between the right cheek and the gums. Anaesthesia extends over the whole of this side of the face to the middle line. It involves the ear, and is continued on to the head for about three inches beyond the margin of the hair. The right side of the nose and the neighbouring part of the cheek are much swelled and inflamed, and the right nostril is the seat of a discharge which forms dark-brown crusts about the orifice. There is complete ptosis on the right side, and internal strabismus. The eye cannot be rotated outwards, and its upward movement is slightly impaired, but all the other motions are perfect. The eyeball is much congested. The pupils are equal. Dr. Reid reports that on the right side the vitreous is muddy, the nerve pale and atro- phied, and the vessels congested. There is no papillitis, and the left nerve is normal. Dr. Barr, who examined the ears, reports that the right-sided deafness is due to chronic catarrh of the middle ear, and not to involvement of the auditory nerve. There is a glandular enlargement between the angle of the jaw and the ear. The tumour, of older date, above the clavicle is a sebaceous cyst. ISTo history of syphilis is obtainable, but on examination of the trunk an eruption is found, which consists of spots and blotches like iodic acne, but darker in colour than usual. The rash was produced by iodide of potassium administered before admission. Dr. Anderson diagnosed a tumour at the base of the brain on the right side, involving the fifth and sixth nerves, the portio dura of the seventh, and the third partially, and possibly syphilitic, on the following grounds: (1) The history of patient’s children (two deaths at three months and one still-born, all within the last six years). (2) The number of cranial nerves involved. (3) The nocturnal character of the headache. (4) The characters of the iodic eruption. For the first few days the patient was given the following pill: R.—Hydrarg. perchlor., - - - - gr. ii. Ext. cinchonae, - - - - - 5 i- Divide in pil. xxiv. Sig.—Two daily.