AMAarchives of neurology & psychiatry . n performed, he was admittedto Hospital No. 11, Jan. 4, 1919, remaining under observation for six roentgenogram showed a defect 5 I)y 6 cm. in the left occipital region bor-dering the midline. An operation for the repair of the cranial defect was per-formed. March 15, 1919. A cone-shaped, fluid filled cavity was encountered,the apex of which communicated with the posterior horn of the left lateralventricle, the base coinciding with the margins of the cranial defect. A con-siderable quantity of cerebrospinal fluid escaped, and the roentgenogram t
AMAarchives of neurology & psychiatry . n performed, he was admittedto Hospital No. 11, Jan. 4, 1919, remaining under observation for six roentgenogram showed a defect 5 I)y 6 cm. in the left occipital region bor-dering the midline. An operation for the repair of the cranial defect was per-formed. March 15, 1919. A cone-shaped, fluid filled cavity was encountered,the apex of which communicated with the posterior horn of the left lateralventricle, the base coinciding with the margins of the cranial defect. A con-siderable quantity of cerebrospinal fluid escaped, and the roentgenogram takenimmediately after the operation showed the outline of the air-filled lateralventricle (Fig. 9). The ocular movements were normal; however, slight con-vergence of the right eye was present. The pupils were equal, reflexes present,media clear, and there were no significant fundus changes. Visual acuity was :right eye 20/50, left eye 20/30. There was a complete right homonymous hemi- 236 .?ihcmriis OF \ihi<ol()l:v axd Fig. 6 (Case b, A. D.).—Left i)arieto-occipital wouiul and defect; righthemianopsia. Perimeter charts. SCAKLETT-IXGHAM—l ISUAL DEFECTS 237 5*^
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