Transactions of the College of Physicians of Philadelphia . in advance of the fixing-points. (Figs. 1 and 2.) Centralcolor-preception was normal. Pupils. Contraction of the iris to light was present equally when thebeam was thrown upon the blind and upon the seeing side of each other words, the hemianopic pupillary inaction was wanting, consequentlythe lesion which determined the hemianopsia was situated posterior to theprimary optic centres. The pupils were round, equal in size, and the irisreactions normal in all other respects. January 28, 1S93, after eating imprudently, he had an
Transactions of the College of Physicians of Philadelphia . in advance of the fixing-points. (Figs. 1 and 2.) Centralcolor-preception was normal. Pupils. Contraction of the iris to light was present equally when thebeam was thrown upon the blind and upon the seeing side of each other words, the hemianopic pupillary inaction was wanting, consequentlythe lesion which determined the hemianopsia was situated posterior to theprimary optic centres. The pupils were round, equal in size, and the irisreactions normal in all other respects. January 28, 1S93, after eating imprudently, he had an attack of indiges- DOUBLE HEMIPLEGIA. 47 tion, with the usual cardiac disturbance, and awakened the following morningwith left hemiplegia and partial hemianesthesia, associated with absoluteblindness. Speech was not aftected, but he was much worried over the lossof power in the left side and loss of sight, and he had no conception ofwhere he was. Taste and smell were natural, voices were recognized, andhis mind was only slightly affected. Fio. 1. Fig. The external continuous line marks the boundary of the normal visual field, the internalcontinuous line the limits of the field in the case examined, the white area the region ofpreserved vision, the shaded area where vision was lost. Four days afterward, as after the first attack, there was rapid restorationof power and sensibility, but no improvement in vision or knowledge oflocality. His mind was clear, and he would discuss his condition intelligently. On the eighth day he recognized light from a window, and when a candlewas placed directly in front of him he saw it with each eye, but nothing couldbe distinguished in the room, and he could not recognize individuals exceptby their voices. He had much trouble in locating himself and his house-being unable to form a mental picture of any place. At the end of four weeks power and sensibility were restored, and he couldwalk, when led, as well as any blind man. With his reading-
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Keywords: ., bookcentury1800, bookdecade189, booksubjectmedicine, bookyear1895
