Albany medical annals . s to exist. The mind is clear, no aphasia exists. Cranial nerves The optic discs and retinae are normal. The vessels show evidencesof slight arterial changes. The pupils are mid-wide equal, react to light,accommodation, and consensually. The ocular movements are normal, the 54 UNILATERAL HYPERTROPHY WITH AUTOPSY visual fields are normal to light and color. Facial muscles functionatenormally. The tongue is protruded straight, its movements are difficult) in deglutition. Movements of the extremities are performedin a perfectly normal manner, grasp of the hands a
Albany medical annals . s to exist. The mind is clear, no aphasia exists. Cranial nerves The optic discs and retinae are normal. The vessels show evidencesof slight arterial changes. The pupils are mid-wide equal, react to light,accommodation, and consensually. The ocular movements are normal, the 54 UNILATERAL HYPERTROPHY WITH AUTOPSY visual fields are normal to light and color. Facial muscles functionatenormally. The tongue is protruded straight, its movements are difficult) in deglutition. Movements of the extremities are performedin a perfectly normal manner, grasp of the hands appeared equally :—No objective sensory loss, no proximal or distal ataxia, stationand gait normal, stereognostic sense preserved. Reflexes The deep and superficial reflexes were present with the exception of thecremasteric and umbilical. The organic reflexes were controlled. Theelectrical reactions were normal in the muscles of the extremities ofeach side. Dr. Gordiniers Care of Unilateral ENLARGEMENT OF LEFT CEREBRAL HEMISPHERE HERMON C. GORDINIER 55 Skin and appendages There was no definite thickening of the skin; no disparity in the lengthof the nails; the hair of the scalp was sparse but no unnatural differencein growth was observed. Diagnosis Left sided hemihypertrophy, general arterio-sclerosis, cirrhosis of liver,tuberculosis of apices. The patient became gradually weaker following the repeated abdominaltappings and succumbed to myocardial insufficiency. Post mortem examination Body of a middle aged man, much emaciated and pale, abdomen muchdistended, no general edema. A marked! disparity is noted in the size ofthe trunk and extremities; the left side of the tongue, trunk, left arm andleg are much larger than those of the right side. The brain showed oninspection that the left cerebral hemisphere was distinctly larger thanthe right and by measurement the left cerebral hemisphere was a centi-meter greater in its antero-posterior and a centi
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Keywords: ., bookauthorm, bookcentury1900, bookdecade1910, booksubjectmedicine
