On the influence of the cervical portions of the sympathetic nerve and spinal cord upon the eye and its appendages, illustrated by clinical cases, with observations / by John W. Ogle.

Ogle, John W. (John William), 1824-1905.

Date:: 1858

Credit: On the influence of the cervical portions of the sympathetic nerve and spinal cord upon the eye and its appendages, illustrated by clinical cases, with observations / by John W. Ogle. 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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$George's Hospital, of a j^oung man affected by scarlet fever. He had ulcerated sore throat, and extensive enlarge- ment of both sides of the neck, but particularly of the left side. The pupils of both eyes were fixed, but very dilated, the left one being much the more so. After death, the cervical lymphatic glands were found to be very greatly enlarged, and in one or two places suppurating ; and most of the deep tissues, with vessels and nerves at the sides of the neck, were indurated, and matted together by inflamma- tory products. These changes were especially observable on the left side of the neck. Case 20 was one which, by Dr. Sibson's courtes\', I saw under his care at St. Mary's Hospital. An abstract of the notes which he gave me is as follows:—Rosetta James, set. 42, was admitted Oct. 18th, 1857, with swelled and con- gested face and neck, distended jugular vein on the right side, and pulsation at the second intercostal space on the right side of the chest, with fulness and dulness of this region, extending from the edge of the sternum about one inch outwards. Other symptoms existed, leading to the diag- nosis of an intra-thoracic aneurism. No mention exists of any peculiarity in the appearance of the pupil until December 11th, when it is stated that the left pupil was more dilated than the right. On the 12th February, it is stated that the impulse of the aneurism was stronger, and felt over an area of three inches from the second to the fourth costal cartilages ; and that both pupils were dilated, but the left one much the most so. On exposing the eyes to the light of a candle, both pupils contracted, but the left one still re- mained the largest. Attacks of giddiness were also com- plained of, and the patient felt at times as if she were going out of her mind. On March 8th, it is recorded that whilst asleep, the pupils were contracted, but the left one was the largest. Both of them speedily dilated when she awoke. Case 21 was one under the care of Dr. Cockle, who$