Eye paralyses / by John Amory Jeffries.

  • Jeffries, John A.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: Eye paralyses / by John Amory Jeffries. 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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    peduncles. The region of the third nerve nuclei was normal. Hunuius®'^ reports the case of a man forty years old who had apoplexy. Two days later, up and down motion of the eyes was normal. There was absolute loss of power in the left external rectus, and the two internal recti; convergence and binocular vision could only be executed with difficulty (!) ; left conjugate motion lost; left eye in mid-position ; right turned out forty degrees. Spinal myosis; marked dysarthria; right hemiplegia. Paralysis of right facial, the upper branch being least affected, and right hypoglossus. Head carried turned to the right, but can be turned anywhere. Mind clear, vision good, no nystagmus. By the fifth day the left eye had turned in a little, and the right was not turned so far out, only parallel to left. No other change. Death from pneumonia on the twelfth day. All the cranial nerves normal; softening in the left half of the pons beginning back of its anterior limit and most extensive in the middle. Part of the sixth root apparently implicated, but not the nucleus. Pyramidal tract entirely destroyed. In the third case reported by Schutz a woman forty-eight years old, after two weeks of weakness, was suddenly seized with paralysis and difiiculty of speech, without loss of consciousness. On the fourth day there was diffuse headache, stertorous respiration, rapid pulse, but no oedema. She understood well, but^ spoke with difficulty. The head was freely moved, there was ptosis on the right, and the left eye did not turn in and down with the right; otherwise, motions of eyes normal. The pupils were small, the left angle of the mouth paretic, the tongue turned to the left. There was slight rigidity of all four limbs, and the right were paralyzed. At autopsy the vessels were found contorted, the ventricles enlarged, the ependyma thickened, and a pair of small cysts the size of peas in
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