A case of cerebellar tumor / by Burton Chance.

  • Chance, Burton Kollock, 1868-1965.
Date:
1906
Catalogue details

Licence: In copyright

Credit: A case of cerebellar tumor / by Burton Chance. 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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    tumor, situated as it was on the lateral portion of the left cerebellar lobe, and not infiltrating the cerebellum in the least. From its location it would have been seen as soon as an opening were made in the skull. The chances are that it would have been entirely removed, and that the patient would have recovered with no return of symptoms. As it is a fibrosarcoma and very hard, it is not likely that it would have recurred. Any- one interested in cerebral surgery cannot but deeply regret that operation could not have been done, as if it had been done the case would px-obably have been one of the most brilliant on record. It is striking that there should have been involvement of the left external rectus muscle, because none of the cranial nerves were directly implicated in the tumor. The tumor being on the left side of the cerebellum, it must have distorted the left sixth nerve more than the right. It is remark- able that the right facial nerve was involved at all. The improvement of symptoms under iodid and mercury does not mean that a tumor is a gumma. We are all familiar with the fact that the symptoms of tumor often disappear under the administration of mercury and iodid, at least for a time. The early choked disc and the character of the neuroretinitis might have suggested that the tumor was in the cerebellum.