Tumor of the superior parietal convolution, accurately localized and removed by operation / by Charles K. Mills and W.W. Keen ; with a pathological report on the nature of the growth, by W.G. Spiller.

  • Mills, Charles K. (Charles Karsner), 1845-1931.
Date:
[1900]
Catalogue details

Licence: In copyright

Credit: Tumor of the superior parietal convolution, accurately localized and removed by operation / by Charles K. Mills and W.W. Keen ; with a pathological report on the nature of the growth, by W.G. Spiller. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    /Jo' \ C L / R ^5AK 01 /£/ TUMOR OF TH^ SUPERIOR PARIETAL CONVOLUTION, ACCURATELY KOUALIZED AND REMOVED BY S OBER^TION.* By Chariu^KTMills, M.D., PROFESSOR OF MENTAL DISEASES AND OF MEDICAL JURISPRUDENCE IN THE UNIVERSITY OF PENNSYLVANIA, AND W. W. Keen, M.D., PROFESSOR OF THE PRINCIPLES OF SURGERY AND OF CLINICAL SURGERY, JEFFERSON MEDICAL COLLEGE. WITH A PATHOLOGICAL REPORT ON THE NATURE OF THE GROWTH. By W. G. Spiller, M.D., PROFESSOR OF DISEASES OF THE NERVOUS SYSTEM IN THE PHILADELPHIA POLYCLINIC. MEDICAL HISTORY BY DR. MILLS. It will probably be admitted that the following case is one of unusual interest from the clinical, physiological and surgical points of view. The diagnosis of the case naturally gave rise to differences of opinion, chiefly because of the absence of some of the most frequently observed manifestations of organic focal disease and the presence of other symptoms and signs com- monly regarded as characteristic of functional nervous dis- order. The difficulties of diagnosis between grave hysteria and serious organic focal disease of the brain were in the fore- ground at several stages in the history of the case. Physio- logically the case is important because it has added something to our knowledge of the areas of representation of muscular and cutaneous sensibility and of trophic functions. Dr. W. W. Keen will consider the surgical aspects of the case, and I shall only say here that the operation in method and execution was one of the most brilliant of the many that it has been my good fortune to see. The following is the history of the case in detail: Mr. S. R., fifty-seven years old, enjoyed good health until 1884, when he became very nervous, emotional and despond- ent, and began to suffer from headaches chiefly in the back of the head. One physician whom he consulted at this period *Read at the twenty-sixth annual meeting of the American Neurological Association, May. 1900.