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.

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    Section 1 passed through the pons varolii vertically just beyond its junction with the medulla oblongata. The right half of the pons appeared to be healthy, but the fourth ventricle was pushed far to the right by the tumour which grew from the left half of the roof of the aqueduct of Sylvius, but the roof itself and the superior cerebellar peduncle seemed thin and healthy, as did also the greater part of the left half of the pons. The root of the tumour seemed, however, to invade the floor of the fourth ventricle. Section 2 made vertically, J inch posterior to the emer- gence of the crura cerebri from the pons showed the aqueduct of Sylvius pushed far to the right, the tumour in- volving the roof of the aqueduct and left half of pons above the locus niger (fig. 1). a. Pons varolii. b. Aqueduct of Sylvius. c. Shaded tumour. d. Lateral ventricle. e. Left hemisphere. Section 3, made vertically through the crura cerebri about J inch beyond their point of divergence, showed the right crus healthy, and the upper or dorsal part of the left entirely occupied by the tumour. The latter had obliterated the posterior part of the internal capsule, the optic thalamus, and part of the extraventricular nucleus of the corpus striatum. The hippocampal convolution was intact (fig. 2). Section 4 just in front of corpora mammillaria. The optic thalamus, tail of caudate nucleus, and internal capsule appeared intact, the tumour appearing only in a small area