Reflex neuroses arising from ocular and nasal abnormalities : oration in ophthalmology / by S. Lewis Ziegler.

  • Ziegler, S. Lewis (Samuel Lewis), 1861-1926.
Date:
[1908]
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Licence: In copyright

Credit: Reflex neuroses arising from ocular and nasal abnormalities : oration in ophthalmology / by S. Lewis Ziegler. 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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    chorea, the chief symptom being a jerking of the head backward. There was also some twitching of the body By supportmg the head with the hand held on the back of the neck, she could eat or converse. In right nostril there were adhesions between the inferior and middle turbinate, and the middle turbinate was jammed tightly against the sep- tum. She never stooped or bent over, as her symptoms at once became exaggerated and a severe headache was pre- cipitated. The eyes were free from refractive error. The right middle turbinate was carefully removed, and the left inferior turbinate was cauterized. She was iherebv freed from the nervous irritation, and increased oxidation has brought her rosy cheeks, a gain of thirty pounds in weight, and more mental nimbleness than she had ever before exhibited. Minor epilepsy.—Petit mal belongs to the same category as chorea. Its pathology is uncertain. Neurologists like Wood, Gray, Fere, and Stoewer believe that this condition may originate in eye- strain. Some cases, if not cured, have at least been benefited by treatment of the congenital ocular de- fects. Stevens, Ranney'^ Gould™, Colburn, Capps*, and Reber' have reported cases relieved by correc- tion of refractive errors. On the other hand, Stev- ens, Stoewer, and Galezowski have each reported cases of reflex epilepsy from ciliary injury or irrita- tion that were relieved by enucleation of the eyeball. I have followed with great interest two patients who first consulted me about six years ago. One suffered from an error of refraction, and the other from a nasal lesion. Strangely they were both so fond of sweets that they indulged in candy sprees. I do not recall having read that the ingestion of sweets is an exciting cause of epileptiform seizures. I presume physiological chemistry might explain *^New York Medical Journal, January 2 to 9, 1897, and Eyestrain in Health and Disease, 1897. Journal of the American Medical Association, July 5, 1902. ^'Chicago Medical Recorder, July, 1894. A'eiu York Medical Journal, September 16, 1899. ^'Pennsylvania Medical Journal, November, 1902.