Round-celled sarcoma of the anterior mediastinum : extensive metastasis, including the brain, both choroid coats, oculo-motor and optic nerves, and external ocular muscles / by Arthur V. Meigs and G. E. De Schweinitz.

  • Meigs, Arthur V. (Arthur Vincent), 1850-1912.
Date:
[1894]
Catalogue details

Licence: Public Domain Mark

Credit: Round-celled sarcoma of the anterior mediastinum : extensive metastasis, including the brain, both choroid coats, oculo-motor and optic nerves, and external ocular muscles / by Arthur V. Meigs and G. E. De Schweinitz. 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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    MEDIASTINUM; EXTENSIVE METASTASES, IN- CLUDING THE BRAIN, BOTH CHOROID COATS, OCULO-MOTOR AND OPTIC NERVES, AND EXTERNAL OCULAR MUSCLES. An Italian laborer, aged twenty-one years, was admitted to the Pennsyl- vania Hospital October 1, 1888. The history was as follows: He was well and strong until June, when he had ague of the tertian type. For forty days before admission he was unable to work, owing to pain in the head and shortness of breath, which for ten days amounted to orthopnoea; his breathing was wheezing. The urine was scanty and passed infrequently. On swallowing he had a burning sensation behind the sternum, and the act provoked coughing, but he did not vomit. He had no appetite and was wakeful at night. There was diplopia for at least ten days before coming to the hospital. On admission the patient was a fine, strongly developed man. The face was dusky-red and congested, the neck broad and very thick-looking, and its veins and those in the upper part of the chest were full and turgid. The eyeballs were markedly staring, and there was slight external strabis- mus of the right eye. The tongue, when protruded, was not deflected to either side. The arms and hands were cyanotic, but there was no cyanosis of the feet or legs. The dyspnoea was very urgent, and he was entirely unable to lie down. 1 The ease was reported briefly by Dr. T. S. Westcott to the Philadelphia Pathological Society, October 25,1888, and the report published in the University Medical Magazine, 1889, vol. i. By ARTHUR V. MEIGS, M.D., AND G. E. de SCHWEINITZ, M.D.1