Retrobulbar neuritis and facial palsy occurring in the same patient : with cases / by G. E. de Schweinitz.

  • De Schweinitz, G. E. (George Edmund), 1858-1938.
Date:
[1899]
Catalogue details

Licence: Public Domain Mark

Credit: Retrobulbar neuritis and facial palsy occurring in the same patient : with cases / by G. E. de Schweinitz. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    same symptoms*, and as Gififord suggests,^ k is not likely that a pachymeningitis spreading into the optical canals would be followed by the ophthalmoscopic appearances and clinical signs already described as characteristic of this disease. That a peripheral facial paralysis may be caused by a lesion of the nerve in the Fallopian canal was demonstrated by May's case of leupocythemia with facial paralysis, caused by an in- filtration oi lymphoid cells and destruction of the nerve fibers in the Fallopian canal. Adolf Meyer^ found in a case of facial palsy of ten days' duration, occurring in a paretic dement, hem- orrhagic infiltration of the periosteum of the internal auditory canal and changes of reaction to a peripheral lesion in the facial nucleus of the same side. Dejerine and Theohari^ report a case of perip'heral facial paralysis, of the so-called rheumatic type, in which they found considerable lesions of parenchy- matous neuritis in all of the terminal branches of the facial, but especially in the inferior facial. The degeneration was less in- tense in the intra-petrous portion of the nerve. In the more chronic types of retrobulbar neuritis, producing the clinical symptoms ordinarily known as central amblyopia, we are accustomed to describe the histological changes as an interstitial sclerosing inflammation, which Samelsohn compared with the same pathological process visible in interstitial hepati- tis, but it has been well stated that the descriptions of the optic nerves in the recorded cases agree quite as well with an inflam- mation oi the connective tissues of the nerve causing secondary atrophy of the nerve fibers, as with an atrophy of the latter, associated with secondary interstitial changes following in its track. ' An American Textbook of Diseases of the Eye, Ear, Nose and Throat, p. 441. * Journal of Experimental Medicine, Vol. II, No. 6, 1897. ° Comptes rendus de la Societe de Biologie, 1897, p. 1033.