Remarks on the routine use of the ophthalmoscope in cerebral disease / by J. Hughlings Jackson.

  • Jackson, J. Hughlings (John Hughlings), 1835-1911.
Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: Remarks on the routine use of the ophthalmoscope in cerebral disease / by J. Hughlings Jackson. 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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    GOWERS ON OPTIC NEURITIS. I find I have not given the most recent of Gowers's conclusions in stating what he has observed as to optic neuritis. I am indebted to him for the following letter:— 50 Queen Anne Street, Cavendish Square, W. June 6th, 1879. DeAB Dr. Jackson,—Later microscopic investigation has led me to modify considerably the opinion of the rarity of descending neuritis expressed in the statement you have quoted in the Medical Press and Circular for the 4th inst. The opinion was founded on the slightness of the indications of inflammation commonly presented by the trunks of the optic nerves in cases of intra-ocular neuritis from cerebral disease. But I have since found in several cases that equally slight changes may connect an intense neuritis behind the optic foramen, with an intense neuritis within the eye ; and I am led to the belief that these slight changes have far more weight than has commonly been attributed to them; and that descending inflammation, instead of being rare, is a very common mode in which neuritis is produced in intra-cranial tumour. I have described the facts on which this opinion is founded in my Manual of Medical Ophthalmoscopy. Believe me, Very truly yours, W. R. GoWERS. Dr. Hughlings Jackson.