. Contributions from the Department of Neurology and the Laboratory of Neuropathology (reprints). hwiilste des Nevvcnsystems, cd. 260. 13 than he had been two weeks previoush. He had not takenalcohol for twelve months, previous to this time he drank oc-casionally. He had not had headache, and gave no history oftrauma. During the five days previous to his visit to me hehad vomited almost every day. He had not had convulsions. First Oeneral Examination.—The notes concerning his condi-tion at my first examination are as follows: ilentality isgood, and he talks iluently. The sight has failed
. Contributions from the Department of Neurology and the Laboratory of Neuropathology (reprints). hwiilste des Nevvcnsystems, cd. 260. 13 than he had been two weeks previoush. He had not takenalcohol for twelve months, previous to this time he drank oc-casionally. He had not had headache, and gave no history oftrauma. During the five days previous to his visit to me hehad vomited almost every day. He had not had convulsions. First Oeneral Examination.—The notes concerning his condi-tion at my first examination are as follows: ilentality isgood, and he talks iluently. The sight has failed during thepast two years. He has slight weakness in the lower left sideof face, not in the upper part of face. The tongue is pro-truded in the median line. The left upper and lower limbsare weak, but he still has considerable power in these biceps and triceps tendon reflexes are a little exaggeratedon the left side. Tlie patellar are prompt, and the leftis dLstinetly exaggerated. Ankle clonus is present on the leftside, but not on the right side. There is no Fig. 1.—Case :. Adenocarciuoma of the right optic liialamiisand adjoining region. Sensations of touch and pain are less acute on the whole leftside; in face, upper and lower limbs. He iias marked tremorof the right hand. He drags the leii foot when walking. Hehas no hemianopsia. Second (leucral Examination.—The change that occurred inthis patients condition between January 11 and February 6was very great. An examination made by me on the latter tlategave the following results: The man is in stupor: he mut-ters constantly, and makes irrelevant remarks. Hiccough ispronounced. He lies with liis head turned to the right andthe neck is stiff. The palsy in the lower part of the left sideof the face is distinct. The stupor prevents any careful test-ing of the power of the upper part of the face. It is impossibleto get him to protrude the tongue beyond the lips, or to make 14 liiin move the e
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