Some unusual cases of orbital tumors : emphasizing the necessity of careful differential diagnosis / by Charles Stedman Bull.

  • Bull, Charles Stedman, 1844-1912.
Date:
[1895]
Catalogue details

Licence: Public Domain Mark

Credit: Some unusual cases of orbital tumors : emphasizing the necessity of careful differential diagnosis / by Charles Stedman Bull. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    foration of the roof of the orbit and the extension of the tumor into the orbital cavity, which diminished the pressure on the brain. The growth probably extended far backward in the cerebral fossa and must have pressed upon the right optic nerve and even the optic commmissure, as both nerves were affected. Unfortunately, no examination of the fields of vision had been made by any one previous to the loss of vision in the right eye. If this had been done something might have been learned from the fields and their limitations, which would have assisted in the diagnosis. The nature of the lesion, of course, prevented any further operative interference, and the case was treated as one of simple enucleation. I was enabled to see the patient for a month after the operation, and the tumor increased slowly in size during that period. She then left the city and I have heard nothing of her since. Case VI. Sarcoma of the Dura Mater and Orbit.—In Janu- ary, 1889, a lady, aged thirty-two years, called on me with her husband, and gave the following history : For more than two years she had been conscious of a dull ache and discom- fort in the right orbit, with occasional headache. For sev- eral months she had noticed a steady failure of vision in the right eye, and recently the same thing in the left eye. There was also some protrusion of the right eye. The headache had never been constant, but of late had increased in fre- quency and severity, and the pain in the orbit was also more severe. There had been no other head symptom. An examination of the eyes showed the following exist- ing conditions: Moderate exophthalmia on the right side, the protrusion being directly forward. -No loss of motility in any direction. Iris and pupil normal. Media clear and fun- dus perfectly healthy. Refraction hypermetropic. The right eye could be pushed back in place without causing any pain, but when the pressure was relieved the exophthalmia re- turned. The left eye was normal in every respect. An ex- amination of the field of vision of the right eye showed a marked limitation downward and outward. The urine was normal and, with the exception of the headache and the