The oculocardiac reflex : an electrocardiographic study with special reference to the differences between right and left vagal and ocular pressures in tabetics and non-tabetics / Samuel A. Levine, M.D. Boston.

  • Levine, Samuel A. (Samuel Albert), 1891-1966
Date:
1915
Catalogue details

Licence: In copyright

Credit: The oculocardiac reflex : an electrocardiographic study with special reference to the differences between right and left vagal and ocular pressures in tabetics and non-tabetics / Samuel A. Levine, M.D. Boston. Source: Wellcome Collection.

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    Case 6.—Male, 49 years old. Instructor in physical culture. Pupils are equal, small, do not react to light, prompt reaction in accommodation. Clinical Diagnosis: Tabes dorsalis. Case 7.—Coachman, 45 years old. Pupils unequal, right is 2 mm., left is 5.5 mm. in diameter. Neither reacts to light and both have sluggish reaction in accommodation. Clinical Diagnosis: Syphilis of the brain and spinal cord (probably early paresis or taboparesis). Case 8.—Salesman, 46 years old. Pupils unequal, right slightly larger than left. Both irregular. React slightly but sharply to light and normally in accommodation. Clinical Diagnosis: Tabes dorsalis. Case 9.—Blacksmith, 58 years old. Rheumatic fever four years ago. Hard chancre thirty years ago. Pupils react normally. Clinical Diagnosis: Acute rheumatic fever, acute pericarditis, cardiac arhythmia, transitory auricular fibrillation, serofibrinous pleurisy and latent syphilis. Case 10.—Laborer, 31 years old. Rheumatic fever seven years ago, and two attacks since. Pupils react normally. Clinical Diagnosis: Chronic valvular disease. Case 11.—School girl, 11 years old. Had one attack of rheumatic fever. Pupils react normally. Clinical Diagnosis: Chronic mitral regurgitation. Chronic cardiac hyper¬ trophy and dilatation. Case 12.—School girl, 9 years old. Rheumatic fever five years ago. Pupils react normally. Clinical Diagnosis: Acute rheumatic fever, chronic valvular disease, mitral regurgitation, aortic regurgitation and aortic stenosis. Case 13.—School boy, 12 years old. Pupils react normally. Clinical Diagnosis: Chronic valvular disease, mitral regurgitation and stenosis, chronic cardiac hypertrophy and dilatation. Case 14.3P— Tailor, 30 years old. Right pupil larger than left. Reaction to light and accommodation is active in both eyes. Clinical Diagnosis: Secondary syphilis, syphilitic periostitis of the frontal bone, periostitis of ulna; multiple, gonorrheal, periurethral abscesses. Case 15.—School boy, 14 years old. Rheumatic fever. Pupils react normally. Clinical Diagnosis: Acute rheumatic fever and acute endocarditis. Case 16.—School girl, 11 years old. Chorea and rheumatic fever. Pupils react normally. Clinical Diagnosis: Lobar pneumonia. Case 17.—Male, 9 years old. School boy. No history of rheumatic fever. Pupils react normally. Clinical Diagnosis: Lobar pneumonia and empyema. Case 18.—Cloakmaker, 40 years old. Pupils slightly dilated and unequal. Left is 4.5 mm., right is 4 mm. in diameter. Both irregular and react in accommodation but not to light. Clinical Diagnosis: Tabes dorsalis. Case 19.—Bookkeeper, 63 years old. No history of rheumatic fever. Pupils equal and react in accommodation but not to light. Clinical Diagnosis: Tabes dorsalis. 36. Case 14 has been omitted because he began to show signs of early tabes, although the oculocardiac reflex was present. \