The Journal of nervous and mental disease . Fig. 11. Attempt to look upward. Forehead is wrinkled, but eyeballs do not move upward.(Case 6.) duction and four days bter he complained for the first timeof diplopia. There was then only paresis of the left superiorrectus. By Dec. 28. 1904, all the ocular muscles had regainedtheir full power. Case 6. S. Hea., sixty-three years old, referred for examin-ation by Dr. de Schweinitz, Dec. 14, 1904. 5o8 WILLIAM G. SPILLER The patient is married and has six children. He attributeshis condition to the atmosphere from oil works. He ha»tremor, especially in
The Journal of nervous and mental disease . Fig. 11. Attempt to look upward. Forehead is wrinkled, but eyeballs do not move upward.(Case 6.) duction and four days bter he complained for the first timeof diplopia. There was then only paresis of the left superiorrectus. By Dec. 28. 1904, all the ocular muscles had regainedtheir full power. Case 6. S. Hea., sixty-three years old, referred for examin-ation by Dr. de Schweinitz, Dec. 14, 1904. 5o8 WILLIAM G. SPILLER The patient is married and has six children. He attributeshis condition to the atmosphere from oil works. He ha»tremor, especially in the lower limbs. He denies all venerealdiseases. He has been very alcoholic and has had difficulty in. Fig. 12. Downward movement of eyeballs well per-formed. (Case 6.) breathing. Has had headache every night about 8 oclock,disappearing during sleep. Has bearing down pain across ab-domen. Many members of his family have died from cancer. PRESIDENTIAL ADDRESS 509 He weighed 181 lbs. a year ago, now weighs 145. No in walking. Is weak in his whole body, cant carry tenpounds. He cannot look upward at all, but moves his eyeballs freelyin all other directions. There may be some weakness of theright external rectus. The pupils are about equal, reaction tolight is present in each eye, distinct but not very prompt. Hecan converge with each eye. Reaction of each iris in converg-ence and accommodation prompt and better than to involvement of either facial nerve. Masseters contractfirmly. Sensations for touch and pain seem to be normaleverywhere. Can hear a watch with right ear only when thewatch is pressed against the ear, cannot hear it with the leftear at all. Hears
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