Orbital tumors : results following the transcranial operative attack / by Walter E. Dandy.

  • Dandy, Walter Edward, 1886-1946.
Date:
1942
Catalogue details

Licence: In copyright

Credit: Orbital tumors : results following the transcranial operative attack / by Walter E. Dandy. Source: Wellcome Collection.

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    the “global type.” However, the same change in the bone is produced by both types. Surprising indeed is the ex¬ tensive and widespread distribution of the hyperostosis, which so frequently involves much of the orbital bones, the side and front of the skull, and all too frequently the para¬ nasal sinuses. So much are the paranasal sinuses involved that these growths have been included by Cushing under “orbitoethmoidah’ tumors. Operative removals of tumors of this type have been re¬ ported by Cushing (192.2.), Armitage (1930), Patterson and Cairns (1931), Vorhis and Adson (1934), Love (1933), Hoover and Horrax (1933), Vincent and Mahondeau (1935), Pilcher (1938), and Cairns (1938). Knapp (1938) reported two cases, one operated locally, the other treated by X-rays. Elsberg, Hare, and Dyke (1932.) reported five cases of tumors of this type, in some of which the dural tumor was removed, but apparently without removal of the orbital hyperostosis. Glioma of the Optic Tracts: All of the four cases added for pathological study were explored surgically, but in none did the operation include the orbital attack, the tumor being clearly inoperable. In two of the cases there was no ex¬ ophthalmos, despite the fact that the growth had continued into the orbit. All were widespread growths involving the chiasm, one or both optic nerves within the cranial chamber and also in the orbits, and the brain. In one instance the tumor extended through the third ventricle and the tem¬ poral, frontal, parietal, and occipital lobes on one side. All were in young children, the ages being four, five, seven, and thirteen. This type of tumor may be suspected when hemianopsia without exophthalmos is present or beginning. An early case of this type was reported by Willemer (1879); an excellent drawing was included. Other cases have been reported by Martin and Cushing (1913).