Ophthalmological Anatomy With Some Illustrative Cases

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Taking into consideration the absence of pupillary phenomena and of any evidence of involvement of structures at the base of the brain, I am of opinion that the non-progressive symptoms are best explained in a man of this patient's age by obstruction of the calcarine artery of the left side. According to Head, right-sided hemianopia may or may not be associated with one or other or with both forms of sensory aphasia (word-blindness or word- deafness) ; if such symptoms co-exist they show implic...a- tion of the gray cortex of the angular gyrus, or of the first temporal convolution, or of both.
Case 15.
Paresis of Left Sympathetic Nerve from a Cervical Lesion, accompanied by Paralysis of Third, Fifth, and Sixth, and Paresis of Seventh, Eighth, Eleventh, and Twelfth Cranial Nerves all on the Left Side.
E. H., female, aged 27, married, was seen by me as an out-patient at St. Thomas's Hospital on September 29, 1897. She complained of attacks of severe frontal head- ache during the last nine months ; the attacks lasted as a rule several days and were so severe that she was FROM A CERVICAL LESION 145 compelled to remain in bed — the intervals between the attacks were as a rule about a week or two weeks in duration.


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