Case of large cerebral tumour without optic neuritis, and with left hemiplegia and imperception / by J. Hughlings Jackson.

  • Jackson, J. Hughlings (John Hughlings), 1835-1911.
Date:
[1875?]
Catalogue details

Licence: Public Domain Mark

Credit: Case of large cerebral tumour without optic neuritis, and with left hemiplegia and imperception / by J. Hughlings Jackson. 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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    Five weeks ago she complained of feeling sick, and vomited ; the next day she seemed dull, and less cheerful than usual; on the third day she astonished her friends by keeping her eyes shut the whole day ; she sat by the fire with her eyes shut and never moved; yet she spoke and answered sensibly when questioned. She did make mistakes, but was never bad enough to make her friends think she was losing her wits. When she went to bed she was in the same condition. In the middle of the night her husband spoke to her, and found that she did not answer him, and the next morning when my informant saw her, she was lying quite senseless, making a kind of snoring noise. Her eyes were closed, she did not know anybody, and did not say anything, not even yes or no. She lay thus two days, and then became light-headed, talked a great deal of nonsense, and what she said she could not say distinctly except short in sentences. It was now noticed that her left arm and leg were paralysed; she could not move either of them in the least. From that time she has been gradually getting more herself. As she recovered she showed that her mind was still defective ; she could not remember events from one hour to another. She mistook the people about her. When she came into the Hospital, she called all the nurses Annie (her daughter's name). She would say to one nurse Are you the one that came just now ? when she had been pre- viously visited by another nurse. She asked the under nurse how she was to know her from that one who had long tails, i.e., strings to her cap. March 9. She names a penny and a shilling, but slowly. A new penny she says is a sovereign, then that it is a two-shilling piece, only gold, then a new penny or a new half-penny, a florin and a shilling. Are you sure ? Well, I think so (a long pause.) If it's not a shilling, it's a two-shilling piece. After considering for some time, she names a watch. What is the time ? (seven minutes past three) A quarter past three, twenty minutes past three, ten minutes past three. When asked to read Beef tea in three-quarter inch letters, she spelt out JO AD for the Beef, and ELIZA for the tea. (Her maiden name was Eliza Joad). When told to read Snellen's test types, she did not know how to set about it, began at the right lower corner and tried to read backwards ; when asked if it was because she could not see, she