On the use of the ophthalmoscope in diseases of the nervous system and of the kidneys

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Macmillan, 1871 - 405 pages

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Page 198 - Simple or primary atrophy of the optic nerve, sometimes accompanied at first by that slight hyperaemia and inactive proliferation which make up the state I have called chronic neuritis. This sort of change I have never found as a result of spinal injuries, but I have often met with it in chronic degeneration of the cord and in locomotor ataxy.
Page 194 - In general paralysis, atrophy of the disks is almost constant ; but it is not an early symptom, appearing generally about the end of the first stage or the beginning of the second. In disease of the spinal cord, simple progressive atrophy of the optic nerve is not uncommon. It is frequent in locomotor ataxy — sclerosis of the posterior cord — and has been observed in some cases of chronic myelitis, not attended with shooting pains.
Page 5 - ... of view from which each philosopher looked at the facts before him, and catch the light in which he regarded them. We shall then find that there is much less of downright error in the history of philosophy than is commonly supposed; nay, we shall find nothing so conducive to a right appreciation of truth as a right appreciation of the error by which it is surrounded.
Page 199 - A somewhat characteristic hyperaemic change which I have not seen in chronic degeneration or in locomotor ataxy, but in cases of injury to the spine only. The retinal arteries do not dilate, but become indistinguishable ; while the veins begin to swell and become somewhat dark and tortuous. The disc then becomes uniformly reddened, and its borders are lost, the redness or pinkness commencing with increased...
Page 260 - ... its production, have, for a length of time, been acting on the individual ; and it is especially difficult to trace the operation of a poison, daily applied to the body, for years, in such Quantities as to produce, at a time, only a very small amount' of deleterious influence — the accumulative effect being at last merely the insensibility of a- certain set of nervous organs. At the same time, we are familiar with the consequences of minute portions of other poisons, which are permitted to...
Page 210 - This influence may be exerted by applying ice to the central part of the back, over a width of from four to four and a half inches, and extending longitudinally over the particular segments of the sympathetic and of the spinal cord on which it is desired to act. For example, intending to direct a fuller and more equable flow of blood to the brain, I apply ice to the back of the neck and between the scapulae...
Page 307 - It was not total darkness, but " dark," which was the word she used herself in describing it. It was not from failure of accommodation. I asked her to look through a very strong convex glass. It was not like that, she said. It was not spots, nor specks, nor clouds, nor colours. When I saw her a minute afterwards, she could read well with each eye, and the fundus of each, as seen by the ophthalmoscope, was normal. She had headache across the forehead, which continued the next day. She said it felt...
Page 7 - Ophthalmoscope has been found of the highest value in the investigation of nervous diseases. But it is not easy for physicians who have left the schools, and are engaged in practice, to take up a new instrument which requires much skill in using ; it is therefore hoped that by such the present volume, containing...
Page 118 - My own opinion certainly is that changes either of a congestive, neuritic or atrophic character may be found in the discs at some time or other in the course of almost all cases of intra-cranial tumor.

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