Intracranial tumours : notes upon a series of two thousand verified cases with surgical-mortality percentges pertaining thereto / by Harvey Cushing.

  • Cushing, Harvey, 1869-1939.
Date:
[1932]
Catalogue details

Licence: In copyright

Credit: Intracranial tumours : notes upon a series of two thousand verified cases with surgical-mortality percentges pertaining thereto / by Harvey Cushing. Source: Wellcome Collection.

    28/172 (page 12)
    monograph (page 129), of the ten-year-old child with a highly calcareous 420-gram tumour of the right hemisphere (Fig. 1). This tumour during its recorded three years of life had been the cause of as many clinical diagnoses as, after death, it received pathological ones. It received a contemporary local diagnosis (1907) of angiolithic glio-sarcoma and a fragment sent to Dr. F. B. Mallory for his opinion was merely called “glioma/’ When re- studied in 1926 it was classified with two others as a neuroblastoma because of the numerous unipolar neuroblasts shown by Cajal’s silver method. Finally, four years later, because of Dr. Bailey’s subsequent misgiving over the propriety of including “neuroblastoma” in his classification, two of Fig. 1. A nodular and calcareous 420-gram glioma after removal (§ nat. size). the three examples were reclassified as medulloblastomas and this par¬ ticular tumour was relegated to the group of atypical or unclassifiable gliomas. Another example of a tumour of undetermined nature may be recorded for the first time as follows: A young man of 27 years (Surgical No. 33332) entered the hospital February 20, 1929. In 1923 he began having Jacksonian attacks in his left arm with ensuing palsy which progressed to a left hemiplegia. In September 1926, at the Mayo Clinic an exploration with decompression was made without disclosing the tumour. Two years later, November 1928, because of increasing tension, a local surgeon reelevated the flap, tapped a large (250 cc.) xanthochromic cyst and replaced scalp without the bone. The cyst rapidly refilled, necessitating a circa monthly puncture for its evacuation.