A physician's notes on ophthalmology / by J. Hughlings Jackson.

  • Jackson, John Hughlings, 1834-1911.
Date:
[1874]
Catalogue details

Licence: Public Domain Mark

Credit: A physician's notes on ophthalmology / by J. Hughlings Jackson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    is very good evidence that the disease is of convolutions in the region of the middle cerebral artery, or, in other words, of convolutions near to the corpus striatum. To say of a case that “ the optic neuritis is complicated with epilepsy ” is about as valuable as saying that “ optic neuritis is complicated with paralysis.” The tie betwixt the two symptoms (the amaurosis, and the convulsion beginning unilaterally) is, I have suggested (“Med. Times and Gazette,” April 30, 1864, and August 15, 1868), to be found in the distribution of the cerebral arteries.* Similarly the tie betwixt subjective sensations of smell and temporary loss of consciousness is, I believe, that the anterior cerebral artery supplies the olfactory bulb and a vast tract of convolutions, and besides that, it supplies a part of the great commissure—the corpus callosum. Speaking very generally, symptoms are to be arranged not only according to the functional divisions of the nervous system, but sometimes according to its nutritive, at least its arterial, regions. If a patient has double optic neuritis, and also convulsions which begin in the hand or face, the disease will be found to be of convolutions in the region of the middle cerebral artery. In the “ Medical Times and Gazette,” for November 22, 1872, and in succeeding numbers, I have published a series of cases of intracranial tumour, in some of which there was optic neuritis along with convulsions beginning unilaterally (face or hand). These cases will be referred to in several of the following sections by the numbers they have in that Journal. (3.)-f* Conservation of Sight in Optic Neuritis. It has long been well known to Ophthalmic Surgeons * Benedikt aucl also Pagenstecher think that optic neuritis is produced by vaso-motor action. + Seo also p. 24, “Double Optic Neuritis from Syphilitic Disease of the Brain.”