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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    Patient is well nourished ; no evidence of anaemia ; physical examination of chest and abdomen normal; urine normal. Knee-jerks normal, no ataxia in gait, superficial reflexes easily obtained, cutaneous sensibility and motor functions undis- turbed. At no point is the skull tender to percussion. She has never been very strong, had rickets in infancy, jaundice four, and measles two years ago. No history of injury to head or of discharge from ears. She has never menstruated. Family History.—Father alive and well; his mother and a sister and brother died of consumption; mother lost a brother from the same disease. Patient is the eldest of a family of four—one died of consumption, the other two are “ delicate.” 6th July. Mercurial inunction has been used every night. She can now count fingers in the peripheral part of the field of each eye, but not with central vision, and can move about the ward without stumbling against objects as she did on admission. The papillitis has distinctly subsided. 6th August. Has been away at seaside. Vision still improving L. = 6/2+. marked, but that of right is not well sustained. Discs white and filled in. 13th August. R.V. = 6/18; L.V. = 6/12 (less one letter). 3rd September. R.V. = 6/9 (two letters); L.V. = 6/9 nearly. Pupils not definitely abnormal. 17 th September. R.V. 6/6 part; L.V. 6/6 part. Fields full, no central scotoma, recognizes all colours through an opening 1 mm. sq. Whiteness of discs very decided, and arteries look small. June, 1899. Patient is in good health, and the visual acuity is almost, though not quite, up to the normal level. Objective examination of the eye negative, except for evidences of former papillitis. It is suo-crested that this is a case of retro-bulbar neuritis affecting both sides, and with a greater degree of papillitis than is usual, and the reasons for holding this diagnosis are given in the body of the paper (p. 122). R. counts fingers at three feet in central vision; Contraction of pupils under light much more