A case of double optic neuritis without cerebral tumour / by J. Hughlings Jackson.

  • Jackson, J. Hughlings (John Hughlings), 1835-1911.
Date:
[1876?]
Catalogue details

Licence: Public Domain Mark

Credit: A case of double optic neuritis without cerebral tumour / by J. Hughlings Jackson. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    A CASE OF DOUBLE OPTIC NEURITIS WITHOUT CEREBRAL TUMOUR. By J. Hughlings Jackson, M.D., F.B.O.P. In the case I have to relate there was well marked double optic neuritis with blindness. At the autopsy no morbid intra-cranial changes were seen except those of very great congestion of the brain, and these were doubtless recent. In this regard the case is exceptional. In most cases of double optic neuritis there is tumour, or some kind of coarse * disease. In the case I am about to relate there were (see Dr. Sutton's examination, p. 10) minute morbid changes; but still the case is very exceptional. It must be remarked too, that although I speak chiefly of the optic neuritis, the xohole tenor of the case was that of a case of intra-cranial tumour. It would, I believe, have been considered a case of cerebral tumour by physicians who do not value ophthalmo- scopic evidence. I have now seen several cases of double optic neuritis in cases without cerebral tumour. Nevertheless I think that optic neuritis is the most valuable of all signs of coarse organic disease within the cranium; but it is not decisive evidence. The following quotation from a Lecture on Optic Neuritis, published in * The expression coarse disease is used as a general term to include new growths (gliomata, syphilomata, &c.) cysts, abscess, and in faot all kinds of adventitious product, or to use a common word, all sorts of lumps within the cranium. These are all foreign bodies, and each of them may lead to changes in the optic nerves. I think too that there is but one kind of change produced by intra-cranial growths; I call this optic neuritis. I do not make the distinction into optic neuritis and stauungs papilla ( choked disc of Allbutt.)