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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    told him that he had beginning softening of the brain, a diag- nosis which exercised a depressing influence upon him. He went to Europe, spending a few weeks at Kissingen and about twenty-two months at Frankfort-on-the-Main, where he lived an easy and quiet life and recovered almost entirely, ex- cept that he had an occasional headache. He returned to America and to his business in 1886, and for eight years from that time he remained in comparatively good health. In 1894, while walking on the street, he suddenly felt an un- pleasant sensation in his right arm, which he described as a feel- ing as if a mouse or ants were creeping down his arm. After this, sometimes at intervals of days, and at others of weeks, or even months, he had similar paresthetic attacks in the right arm; these were sometimes described as a tingling or battery sensation. They came on suddenly and passed away in a few moments. After the attacks the arm would feel somewhat heavy. During the attacks he was never unconscious and so far as could be learned he never suffered from vertigo. From this time on he was more or less neurasthenic and hysterical, with periods of great despondency. He suffered much wTith a feeling of pressure or distress in the head, which he usually re- ferred to the left parieto-frontal region. At times it took on the character of a true localized headache, but this was exceptional, the uncomfortable sensation usually being described by the pa- tient as a feeling of pressure or distress. He was fully able to attend to his business until January, 1899, although he was often nervous and did not feel well. In 1894 he consulted Pro- fessor Eichhorst; he was also seen by others, but so far as I could learn the diagnosis of organic brain disease was not made, except the opinion expressed in 1884 that he had soften- ing of the brain, which in the light of his subsequent history was evidently with out good foundation. In June, 1899, he first noticed that he was beginning to use his right upper extremity awkwardly, and a week or two later a similar awkwardness of movement became noticeable in his right leg. From this time he had slowly increasing difficulty in the use of his right arm and right leg, and especially the former. The disability became markedly worse about the mid- dle of August, and was described by the patient as a loss of power, although my first examination of him, made August 21, showed that the disorder in the limbs of the right side was ataxic rather than paretic. He had no pain in the affected ex- tremities; but he complained frequently of a feeling of pressure in the left parieto-frontal region. He also had frequent attacks of a hysterical character with great despondency. My first examination of the patient on August 21, 1899,