A case of bilateral paralysis of facial and auditory nerves, with left hemiplegia, in the secondary stage of syphilis / by James Carslaw, M.A., M.B., C.M., Assistant to the Professor of Medicine and Clinical Medicine, Glasgow University.

  • Carslaw, James.
Date:
[1897?]
Catalogue details

Licence: Public Domain Mark

Credit: A case of bilateral paralysis of facial and auditory nerves, with left hemiplegia, in the secondary stage of syphilis / by James Carslaw, M.A., M.B., C.M., Assistant to the Professor of Medicine and Clinical Medicine, Glasgow University. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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    sheaths of both the facial and the auditory nerves, compressing the nerves, but also in the substance ol the nerves. I he haemorrhages were present in the facial nerve in the upper part of its course through the petrous bone, the most distinct one being at the genu (Fig. 2). Besides the haemorrhages, seen in the course of the auditory nerve (tig. 3), there were also similar small haemorrhages in the membranous cochlea. There was, in addition, apparently degeneration of Fiu. 3.—Tin-: Facial and Auditory Nerves at the outer end of the internal auditory meatus. The facial is slightly oblique, and shows a small haemorrhage. The auditory is transverse, and shows two distinct haemorrhages. (Low Power.) the facial nerve. Unfortunately, however, the decalcifying process made it impossible to get the nerves stained satisfac- torily by Weigert’s method, so that the nerve degeneration was not well demonstrated. But specimens from the facial nerve, not far from its exit, showed distinct excess of connective tissue and diminution of nerve fibres. There was marked engorgement of the small bloodvessels of the nerves, and some of them had apparent thickening of the middle coat, and con- tents so dense and dark-coloured as to suggest thrombosis, but no cellular infiltration was detected. The examination of the brain in the softened area revealed certain localized prolifera- tions of cells in the external coats of the bloodvessels, and also haemorrhages into the perivascular spaces. The vessels of the