The American Encyclopedia And Dictionary of Ophthalmology volume 10

Cover The American Encyclopedia And Dictionary of Ophthalmology volume 10
The American Encyclopedia And Dictionary of Ophthalmology volume 10
Casey a Casey Albert Wood
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CoiKlition.
During the whole period (twenty-four ;in(l i)im'1i;i1I" yc;ii-s) tliat tho pjitiont was under the writei-'s nbs(M-\;iti(iii tlir niiidil ion i'(Mii;nnra(:tieally speaking, unchanged, and Ihcii' were no I'lirlhcr cci-chral developments — central (macular) vision iiii])rovc(l slightly, peripheral 7574 MACULA LUTEA vision remained completely obliterated. Throughout the whole course of tlie case there was no motor paralysis, no loss of sensation, and no aphasia, either sensory or motor.
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The man died in 1910, and a post-mortem examination showed that the brain lesion consisted in extensive destruction of the white matter and part of the cortex of the left occipital lobe and very extensive destruction of the white and gray matter of the right occipital lobe. The lesions apparently were 'the result of old softenings, probably, from the very sudden onset, embolic in origin, with great secondary (compensatory) dilation of the lateral ventricles.
The fact tliat the visuo-sensory area generally was normal in dis- tribution made it certain that the gross contraction of the visual fields, which was found clinically, was due to an associative block, and that this block was not quite so complete on the left side of the visual apparatus as on the right (and in the right fields of vision as in the left), in association with a smaller or less important lesion on the left side of the cortex.


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