A CASE OP CEREBRAL TUMOUR. By Kedar Natii
Dass,
m.b.,
Medical and Surgical Registrar, Medical College est.
the
Hospital. Hindu male,
Chowdry, Bengali occupation a clerk, was admitted into Medical College Hospital, under the care of
Taranath
a
32, by
on 7th October 1892. Previous History.?Constant headache for 2| years ; first noticed by the patient after he indulged himself by taking some leaves of cannabis indica. The headache has been gradually increasing in intensity. Loss of power over the limbs has also been noticed some time after the attack of the headache ; the symptoms, however,
Dr. Birch,
After a year he very, very slowly. could walk about without help and inconvenience,
appearing
and about the same time noticed that his vision getting indistinct. The headache now became so severe that he left off his work and took Loss of motion became more marked to bed. after his confinement to bed. Patient has been getting thinner and anaemic since the attack of headache. Gradual failure of memory. Patient has all along kept good health, except a slight attack of fever eight or nine years ago. Was perfectly intelligent before, and discharged was
a Lately worked very very responsible duty. hard. No history of venereal diseases, alcoholism, injury or fall. On admission.?Patient not well-nourished. Intelligence appeared to be slightly diminished ; stopped in the midst of a sentence, losing the
chain of thoughts. Spoke with hesitation and after each word. " Scanning speech."
paused
Slept badly, but sleep was not disturbed by No giddiuess ; complained of a constant distressing headache (which was described as of
dreams.
the forehead and neck. The headache neither increased nor decreased under the influence of any external cause. Patient could a
throbbing character)
extending
not see
across
to the nape of the
things
at
a
distance ;
saw more
clearly
at
day than at night. Pupils dilated; could not walk without help. Gait peculiar when made to walk supported. He put forward his left leg first and then the right, which described a semicircle. The loss of power was marked iu the
r April
1894.]
OBSTINATE CASE OP OBSTRUCTION OP THE BOWEL.
Patellar reflex slightly diminished, the right side. Left hand more powerful than the right. Sensation intact. Face and
right leg.
more so on
forehead
occasionally
perspired
very
freely
;
other organs normal. Urine sp. gr. 1005 ; reaction slightly acid; no abnormal constituents. Bowels said to be loose for five days. Temperature normal. The slight diarrhoea was easily checked by mist, cretaj co. |i after each stool. 8th October 1892.?Antipyrine grs. x given
without any benefit. 9th.?Pot. iodid grs.
x with syr. ferri iodidi 3SS. ordered thrice daily. Headache became less. 20th.? Patient did not hesitate so much in speaking; vomited several times. 2Qth.?Regained some power over his right hand. Speech almost normal. Itli November 1892.?Could walk with the help of a stick. 21s*.?Eyes examined. D.V. ^B. E. N. V. : 21J:: C+ 3D. Fundus white. Small patches of altered pigment, like shining dots on the retina. Discs white, margins woolly. In the left disc, a patch of effusion, surrounded vessels running, up and out, from the disc; vessels very small. Atrophy of discs after double optic neuritis. 24th.?Patient discharged, at his request, with headache much less and with more power in his limbs.
135
Dass,
m.b.,
Medical and Surgical Registrar, Medical College est.
the
Hospital. Hindu male,
Chowdry, Bengali occupation a clerk, was admitted into Medical College Hospital, under the care of
Taranath
a
32, by
on 7th October 1892. Previous History.?Constant headache for 2| years ; first noticed by the patient after he indulged himself by taking some leaves of cannabis indica. The headache has been gradually increasing in intensity. Loss of power over the limbs has also been noticed some time after the attack of the headache ; the symptoms, however,
Dr. Birch,
After a year he very, very slowly. could walk about without help and inconvenience,
appearing
and about the same time noticed that his vision getting indistinct. The headache now became so severe that he left off his work and took Loss of motion became more marked to bed. after his confinement to bed. Patient has been getting thinner and anaemic since the attack of headache. Gradual failure of memory. Patient has all along kept good health, except a slight attack of fever eight or nine years ago. Was perfectly intelligent before, and discharged was
a Lately worked very very responsible duty. hard. No history of venereal diseases, alcoholism, injury or fall. On admission.?Patient not well-nourished. Intelligence appeared to be slightly diminished ; stopped in the midst of a sentence, losing the
chain of thoughts. Spoke with hesitation and after each word. " Scanning speech."
paused
Slept badly, but sleep was not disturbed by No giddiuess ; complained of a constant distressing headache (which was described as of
dreams.
the forehead and neck. The headache neither increased nor decreased under the influence of any external cause. Patient could a
throbbing character)
extending
not see
across
to the nape of the
things
at
a
distance ;
saw more
clearly
at
day than at night. Pupils dilated; could not walk without help. Gait peculiar when made to walk supported. He put forward his left leg first and then the right, which described a semicircle. The loss of power was marked iu the
r April
1894.]
OBSTINATE CASE OP OBSTRUCTION OP THE BOWEL.
Patellar reflex slightly diminished, the right side. Left hand more powerful than the right. Sensation intact. Face and
right leg.
more so on
forehead
occasionally
perspired
very
freely
;
other organs normal. Urine sp. gr. 1005 ; reaction slightly acid; no abnormal constituents. Bowels said to be loose for five days. Temperature normal. The slight diarrhoea was easily checked by mist, cretaj co. |i after each stool. 8th October 1892.?Antipyrine grs. x given
without any benefit. 9th.?Pot. iodid grs.
x with syr. ferri iodidi 3SS. ordered thrice daily. Headache became less. 20th.? Patient did not hesitate so much in speaking; vomited several times. 2Qth.?Regained some power over his right hand. Speech almost normal. Itli November 1892.?Could walk with the help of a stick. 21s*.?Eyes examined. D.V. ^B. E. N. V. : 21J:: C+ 3D. Fundus white. Small patches of altered pigment, like shining dots on the retina. Discs white, margins woolly. In the left disc, a patch of effusion, surrounded vessels running, up and out, from the disc; vessels very small. Atrophy of discs after double optic neuritis. 24th.?Patient discharged, at his request, with headache much less and with more power in his limbs.
135
