Clinical notes on nerve disorders in surgical practice / by George Wherry.

  • Wherry, George, 1852-1928.
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: Clinical notes on nerve disorders in surgical practice / by George Wherry. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    paralysis of the sixth, the examination of the associated action of the internal rectus of the other eye did not show any fault, and so far this is against a nuclear lesion. Case II.^—The patient, aged 52, was a farmer sent by Dr. Cox of Willingham, on February 27, 1891. He was quite clear in his mind, and said his name was Tibbit, and “ you spelled it the same backards as forrards.” He was quite able to follow his occupation. He had troublesome diplopia, and could not steer himself in walking with the right eye open; he always therefore kept it tightly closed. The right eye was nearly stationary in middle position, there was only ver}T slight movement visible. The ocular muscles, including the superior oblique, all impaii’ed: there was no ptosis whatsoever. The movements of the left eye were perfect. In associated movements the right eye seemed rather more free than when acting alone. The pupils were equal, measuring 8 mm., active to light and accommodation. The vision of the right eye was but very slight movement of the head put the board out of view ; no improvement obtained with spherical glasses. Vision in the left eye was normal. No signs present of tabes ; no optic neuritis. He told me that a week before he had to sit up all night with his cow, and it was a cold job; the disorder had come on gracing ally next day. There had been no illness during the twenty years past, until a year ago he had a bad attack of retching, thought to be influenza. He drinks a good deal of beer, no spirits. There was no history of syphilis ; of two children, one was aged sixteen in good health, and a son aged twelve years was subject to nocturnal fits, in which he bit his tongue. Iodide of potassium Avas given, 30 up to 60 grains daily. When examined a Aveek later, the movements, though very limited in the right, could be easily seen ; also the eye exam- ined alone made better movements than Avhen associated Avith the other eye. The patient gradually recovered, and in three or four months Avas entirely Avell. ShoAvn at the Cambridge Medical Society on March 6, 1891; Lancet, April 11, 1891, n. 83.