Hydatid disease, Vol. II. By the late John Davis Thomas... A collection of papers on hydatid disease / edited and arranged by Alfred Austin Lendon.

  • Thomas, J. Davies (John Davies), 1844-1893.
Date:
1894
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Licence: Public Domain Mark

Credit: Hydatid disease, Vol. II. By the late John Davis Thomas... A collection of papers on hydatid disease / edited and arranged by Alfred Austin Lendon. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

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    Remarks—Numerous Cysts. Daughter-cysts (?). 19. Reference.—Charcot and Davaine, “Traite des Entozoaires,” second edition, p. 704. Sex and Age. —Male, 37. Locality.—A large spheroidal cyst occupying the middle and posterior lobes of the right hemisphere. Apparently it was excavated exclusively in the cerebral substance, so that externally only two mm. of brain substance was left. Below it pushed downwards the roof of the left lateral ventricle, which it did not perforate. Right optic thalamus and corpus striatum slightly compressed and pushed towards the median line. Symptoms.—For a month before admission, intelligence and memory impaired ; right arm enfeebled ; headache. Upon admission, marked hebetude; vomiting ; slow pulse, 40 per minute; complete paralysis of light arm, very incomplete of right leg, so that patient could walk with much stumbling ; no loss of sensation ; paralysis slowly progressive, until it became complete right hemiplegia. Duration of Illness.—About six weeks. Mode of Death—Sudden. Remarks.—A fine cellular membrane lined the cavity, and enclosed three perfectly spherical hydatids, the largest of the size of a hen’s egg, the smallest of a pigeon’s egg; two hydatid cysts in the heart and eight or ten in the spleen. 20. Reference.—Rodust, Schmidt’s Jahrbiicher (1862). Sex and Age.—Male, 9. Locality.—Hydatid of the size of the fist in right anterior cerebral lobe which had compressed the brain above and below, so as to cause its disappearance at these parts. Apparently originated in anterior cornu of right lateral ventricle. Left anterior cerebral lobe considerably excavated by the cyst; optic thalamus and corpus striatum pressed laterally and downwards ; corpus callosum and third ventricle pushed backwards ; corpus callosum and fornix much softened ; red softening of corpora quadrigemina. Symptoms.—No history. Remarks.—Nurse-production ; scolices ; clear watery fluid. 21. Reference.—Risdon Bennett, Trans, of Path. Soc., Vol. XIII,, p. 5 (1862). Sex and Age.—Female, 13. Locality.—Two hydatid cysts occupying the middle and posterior lobes of the right cerebral hemisphere. One was of the size of a large lemon. Rest of brain healthy ; dura mater slightly thickened in places ; right optic nerve smaller than left one. * ‘ Of the optic tracts, on the con- trary, the left was decidedly the-less.” Posterior fontanelle open. Symptoms.—Headache, principally at vertex; fits ; sight impaired ; pupils dilated and fixed ; no vomiting; intelligence, appetite, and nutrition good on admission ; occasional epileptic paroxysms ; after a time inco- ordination of legs; slight temporary paralysis of left side of face ; afterwards loss of control over sphincters ; convulsions; drowsiness.