Peripheral neuritis in exophthalmic goitre / by Arthur Maude.

  • Maude, Arthur.
Date:
[1894]
Catalogue details

Licence: Public Domain Mark

Credit: Peripheral neuritis in exophthalmic goitre / by Arthur Maude. 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.

    11/18 (page 239)
    tendency to stammering. Gait was somewhat peculiar, the right foot being raised higher than the left, and the heel striking the ground first. But this might have resulted from a partial ankylosis of ankle joint due to the old injury. No inco-ordination or giddiness. Profuse perspiration present, but no visceral disease detected. During the first few days in hospital he suffered sometimes from bad headache, sometimes became strange in manner, and usually kept his left eye nearly closed, and the latter peculiarity remained unaltered till he died. He was, however, generally pleasant, and humorous, and much inclined to talk, but his memory got worse and some aphasia supervened. On February 1, he had forgotten the name of his last ship and captain, though he said he knew them quite well, but could not say them. When shown a candlestick and quill-pen, he was unable to name them, though he named a button correctly. When asked whether the candlestick was a watering can he became very angry, and said the question was childish and ridiculous. On February 12 Mr. Lawford saw him and said he could read with each eye, and with one as well as the other. He could understand what he read and could write. Loss of power in both superior recti and in inferior oblique of right eye. On February 15 Mr. Nettleship examined him and noted that there was no movement of the eyes upward beyond the horizontal, and that downward movements were also defective, more in right than in left eye. Concomitant lateral movements full, but con- vergence very defective, and more so in right than in left eye. Irregular nystagmus in lateral and in upward movements. Bight pupil larger than left. State of accommodation doubtful. No ptosis; but left palpebral fissure always narrower than right. As to diplopia, patient appeared to say nothing about it, and he could not wTith any certainty be got to see double, at any rate not in such a manner as would agree with paresis of right internal rectus. R. reads 6j. at 14 c. + 3 d.=1j. at 9 L. reads 14j. at 14 c. -f 4d. = 1j. at 9 Together=6j. at 14 c. -f 3d.=1j. at 9, but prefers to shut left eye. E. V.=t62 : Hm. Id. L. V.=x68 : NoHm. Not tried with cylinders.