. Surgery, its principles and practice . eurismal varix. Where the traumatism hasbeen an indirect one, it is likely that adiseased condition of the vascular systemhas been a predisposing factor. Among three hundred and thirteencases thus far analyzed, the number aris-ing spontaneously or resulting from thegrowth of a tumor is eighty-three, andof these fully 80 per cent, were of spon-taneous origin. The spontaneous casesmost frequently occur among females,and usually develop as the result ofstraining efforts, coughing, or vomiting,and in persons who are predisposed tosuch an accident by reason
. Surgery, its principles and practice . eurismal varix. Where the traumatism hasbeen an indirect one, it is likely that adiseased condition of the vascular systemhas been a predisposing factor. Among three hundred and thirteencases thus far analyzed, the number aris-ing spontaneously or resulting from thegrowth of a tumor is eighty-three, andof these fully 80 per cent, were of spon-taneous origin. The spontaneous casesmost frequently occur among females,and usually develop as the result ofstraining efforts, coughing, or vomiting,and in persons who are predisposed tosuch an accident by reason of vasculardisease. The subject of this affectionusually has a sensation of somethinghaving given way in the head, which isfollowed by the bruit and later by the other well-known symptoms. Among forty-nine spontaneous cases oc-curring in women, fourteen have been associated with pregnancy, that is, per cent., or about 4 per cent, of the total number. The majorityof cases of pulsating exophthalmos occur between the ages of thirty and. Fig. 497.—Case of Bilateral Exoph-thalmos. Enlargement of Con-junctival Vessels. 928 SURGERY OF THE EYE. forty. The youngest patient reported as the subject of this affection wassixteen months of age and the oldest eighty years. Pathology and Pathogenesis.—Among the three hundred andthirteen cases reported up to the middle of 1907, it would seem that forty-three autopsies have been made, the results of which may be brieflysummarized as follows: I. Aneurism of the ophthalmic artery both within and without theorbit. (a) Within the orbit, two cases (Guthrie, Du Villards).(h) Without the orbit, one case (Nunnely). II. Rupture of the internal carotid in the cavernous sinus. (a) Traumatic rupture, ten cases (Nelaton, Herschfeld, Leber, Blessig,Stuelp, Grut and Tscherning, Usher, Gibson, Verhoeff and Jack). (6) Spontaneous rupture of the internal carotid in the sinus, one case(Gendrin). (c) Spontaneous rupture of aneurism of the internal carotid,
Size: 1446px × 1729px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectg, booksubjectsurgery
