A case of double optic neuritis without cerebral tumour / by J. Hughlings Jackson.

  • Jackson, J. Hughlings (John Hughlings), 1835-1911.
Date:
[1897]
Catalogue details

Licence: Public Domain Mark

Credit: A case of double optic neuritis without cerebral tumour / 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 some cases we find with optic neuritis (I now speak of cases in which post-mortem examination reveals intra-cranial tumour) changes in the retina very like, sometimes quite like, those occurring with chronic Bright's disease. On the other hand, in some cases of Bright's disease the disc is swollen to a degree equalling that found in some cases of intra-cranial tumour, and there are lustreless and shapeless white spots about the disc, and also blotches; not only streaks of blood like those which are seen in very many cases of neuritis from intra-cranial tumour. Dr. Herm. Schmidt and Dr. Wegner ( Archiv. £ Oph., Bd. xv, Abth. iii, s. 253—275) report a case of cerebral tumour in which the ophthalmo- scopical signs were quite like those in a case of kidney disease. (See Dr. Noyes' report on Ophthalmology, '''^Q^Y York Medical Journal, February, 1871, p. 210.) Hutchinson (''Eoyal London Ophthalmic Hospital Eeports, vol. V, p. 308), in some cases of optic atrophy in children, no doubt the sequel of neuritis, has seen at the yellow-spot region groups of highly refractive globules, resembling at first glance clusters of spider's eggs. The following is an extract from Mr. Brudenel Carter's recently published work. I fear I blundered in not having examined the patient's urine in the case of renal disease to which he refers. Many attempts have been made by various writers to distinguish ' neuritis optici' from ' perineuritis,' and both from mechanical obstruction; but I have never been able to satisfy myself of the validity of the distinctions which have been drawn. Dr. Hughlings Jackson, who has investigated the subject with infinite pains and care, and who has followed a large number of his cases to the p)ost- mortem table, will not say more than that ' optic neuritis^' his general expression for the changes under consideration, is an evidence of some coarse intra-cranial lesion, and I myself can only say that it is frequently associated with such lesion. ''We had a little boy in St. George's Hospital in 1872,