Two cases of hemiatrophia facialis / by Walter H. Jessop and Oswald A. Browne.

  • Jessop, Walter H.
Date:
[1880?]
Catalogue details

Licence: Public Domain Mark

Credit: Two cases of hemiatrophia facialis / by Walter H. Jessop and Oswald A. Browne. 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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    process ; (3) a little to the left of mesial line of the head, about the lambdoid suture. These spots are all on the left side of the head, and the hair on that side is thinner and scantier than elsewhere. At five years of age, the pain in the head becoming gradually more severe, she became totally blind, and continued so for six months, after which time she recovered her sight and could see well. Between ages of two and five patient had measles, scarlet f ever^ and constant hacking cough. With disappearance of ocular trouble she had pain and inflam- mation of left side of chest, with severe cough, accompanied by occasional haemoptysis, and had blisters frequently applied There is now at base of sternum a square scar caused by constant blistering. As regards the facial atrophy scarcely any history can be obtained ; patient says that when her eye became first affected at two years old, sinking in of the left cheek was observed. She had teeth in both jaws up to sixteen years ; had toothache frequently; soon after sixteen the teeth on the left side began to drop out, and had all done so by eighteen. The right teeth were not lost till some years afterwards. The facial atrophy increased up till thirteen, when it reached its present condition. At nine years old underwent an operation on left eye at St. Thomas's Hospital, probably for lachrymal obstruction. With the exception of almost continuous cough patient has been in good health since fifteen years old. Family history good. Patient is a healthy looking, well-nourished woman, with the exception of left side of face, of medium height, and average intelligence; holds her face always turned to the left, thus hiding her deformity. The right side of the face gives one the idea of perfect health, the muscles, bones and skin being apparently normal, as they are also in every part of the body, except the left half of the face. The viscera of the body are also apparently healthy. The following notes have reference to the left side :— The hair, which is dark, is scantier than on the right, and absent for 3 radius above ear. 'No marked demarcation along mesial line of forehead, skin much wrinkled, prominence of inner part of frontal eminence, but depression towards outer part; no difference in cyrtometric tracing of skull. Elevation of eyebrow, depression over corrugator supercilii. Uye rather protruded, lagophthalmos; upper lid atrophied.