Neurological clinics v 1 Author:Unknown Author Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: TUMOR OF THE MIDBRAIN WITH AUTOPSY REPORT HENRY R. MULLER, M.D. The fact that certain brain tumors at times grow to considerable size before they cause ... more »symptoms generally regarded as pathognomonic of brain tumors is perhaps worth emphasizing again. Particularly the gliomata, which often undergo early cystic degeneration, do not produce marked intracranial pressure until after they have existed a considerable time. The case reported in this paper is remarkable in this respect. It was only two months before the patient's death, or at most three months after the onset of any symptoms, that the first cardinal symptom of brain tumor appeared. Throughout the entire course of the disease the patient was free from headache, nor did the eye examinations at any time reveal papilledema. The process was characterized by a slowly progressing paralysis which, as the autopsy showed, went hand in hand with the progressive growth of the tumor. The clinical features of the course of the disease are as follows: The patient, J. A. P., a printer, aged forty-six, consulted Dr. E. G. Zabriskie March 27, 1917, complaining of slight weakness of the left side of the body. This weakness, he claimed, came on a few days after he had struck his knee in a fall received while going upstairs in the latter part of February, 1917. Although the patient believed that there was some causal relation between thisinjury and his present condition, it seemed probable that, even at that time, he had some slight weakness of the legs which he had not noticed and which was responsible for the fall. Moreover, his wife and family physician both maintained that for at least two weeks previous to this time, he had not been using the left leg with the same readiness and dexterity that he did the right. Soon after this h...« less