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The Eye and Nervous System; Their Diagnostic Relations

The Eye and Nervous System; Their Diagnostic Relations


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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1906 Excerpt: ...The latter fact alone suggests the special character of the lesion at work, a lesion not common to tabetics as a whole. It appears that paralysis of convergence is somewhat more rare than paralysis of accommodation. Thus of thirty cases studied by the writer, paralysis of accommodation was found twice, though six cases revealed an impairment of accommodation. The convergence reaction was absent but once and impaired but twice. Similar results were obtained by Kochon-Duvigneaud and Ileitz. These investigators found only three cases with loss of convergence in seventy-seven. Collins again found in one hundred and forty cases loss of accommodation in nine. Paradoxical pupil is an exceedingly rare symptom in tabes, if indeed n ever really occurs. In such a pupil, dilatation follows exposure to light, while contraction ensues upon darkness. This phenomenon is open, however, to gross misinterpretation. Very frequently the dilatation observed is in reality due to an impairment of accommodation, or more rarely to a weakness of the convergence reaction. _Tlie sphincter of the iris being weak makes, perhaps, an ineffectual attempt to shut down and then suddenly gives way and dilatesIn the only case ever observed by the writer, involvement of accommodation and convergence was clearly present. Piltz (cited by Bumke) reports a case of double optic atrophy (tabetic?), in which upon sudden shading of one eye, both pupils became distinctly narrower. Upon sudden illumination, the left pupil did not react at all, while the right contracted slightly, both directly and consensually. It would appear that the literature fails to offer a case entirely free from objection. (See also page 493.) Hippus, though very rare in paresis, has been noted in tabes, as, for example, in the ca...


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Product Details
  • ISBN-13: 9781130261721
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 422
  • Spine Width: 22 mm
  • Width: 189 mm
  • ISBN-10: 1130261727
  • Publisher Date: 01 Mar 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 748 gr


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