On the clinical significance of double optic neuritis in children and young adults, and on the capacity for recovery from symptoms of tumour of the brain / by C.O. Hawthorne, M.D.

  • Hawthorne, C. O. (Charles Oliver), 1858-1949.
Date:
[1899]
Catalogue details

Licence: Public Domain Mark

Credit: On the clinical significance of double optic neuritis in children and young adults, and on the capacity for recovery from symptoms of tumour of the brain / by C.O. Hawthorne, M.D. 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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    surface of the swelling; the vessels as they leave the disc are concealed by exudation, and the veins generally are enlarged and tortuous. The visual fields for white and colours are normal, and there is no central or other scotoma. Physical examination reveals nothing beyond a venous hum at the root of the neck and a blowing murmur with each expansion of the subclavian arteries. Urine free from albumen and sugar. She has but an incomplete knowledge of her family history, all she can say is that her mother died of “ consumption and heart disease.” Patient ordered to take complete rest, and iron prescribed. 21st June. General condition improved; papillitis some- what less marked; she does not read G/6 fully with either eye; paralysis of right external rectus less complete. 25th July. Improvement still more manifest. There is now only a slight degree of paralysis of external rectus. With the right eye she makes mistakes in reading both 6/9 and 6/6, and with the left does not read 6/6 fully. There are now definite changes at each macula, a circular area of a deep red colour and about the size of the optic disc occupies the centre of each fundus, and on this, more especially in the right eye, are a number of irregular, whitish, lustrous spots. Papillitis subsiding. 2nd August. The patient is looking very well. There is now hardly appreciable defect in the outward movement of the right eye, but homonymous diplopia can still be detected to the extreme right when the flame and coloured glass are used. The greater part of the margin of each disc can now be seen ; fundi otherwise unchanged. Visual acuity as before; recognizes all colours in 1 mm. square in central vision. 30th August. Improvement continues. The discs are nearly normal and the congested areas in the macular regions less prominent. There is no diplopia even to the extreme right. 20th September. Patient regards herself as quite well, and appears to be so. The fundus on each side remains