Proceedings of the Boston Society for Medical Observation

1878 Boston Medical and Surgical Journal  
had been exhausted and the patients had reached an almost hopeless state. But they all recovered after taking from a gramme and a half to three grammes of ergot daily for about two weeks. Another, who presented grave ataxic symptoms from the outset, with delirium, trismus, carphologia, and intermittent pulse, took ergot for twelve days, the disease assuming a milder form and recovery following. Finally, a patient with typhoid fever, who was three and a half months pregnant, was treated with
more » ... t for fifteen days, and got well without December 17, 1877. Tumor of the Cerebellum. -De. Webber read a paper upon this subject. (Reserved for publication.) Dr. Ellis asked the reader if he considered the pain to be caused by pressure upon the nervous structure of the brain. Dr. Webber replied that he thought it dependent upon pressure on the tentorium and the meninges ; the former binds down the cerebellum so closely that even a slight increase in size exerts considerable pressure, and, the membranes containing nerves, the pressure is very painful. He said that when the cerebellum is affected, patients seem to exhaust language in trying to find expressions sufficiently strong to describe the intensity of the headache. Dr. Fisher asked if hallucinations of sight are as marked in affections of the cerebellum as when other portions of the brain are affected. Dr. Webber answered that he had only once seen hallucinations mentioned as a symptom in tumor of the cerebellum, and then it was not stated whether they related to sight especially. Intellectual and emotional disturbances he thought were more particularly noticed when the cerebral hemispheres were affected. Dr. Stevens mentioned the case of a lady twenty-three years of age, who died in September last, and at the autopsy a tumor the size of an English walnut was found occupying the floor of the fourth ventricle. A year before death she sought medical advice on account of severe headache and impaired vision. The diagnosis of retinitis was made at the Eye and Ear Infirmary by Drs. Shaw and Hay. Four weeks afterwards her sight had become much worse, and two months later she was totally blind. At this time she became pregnant, and suffered severely from headache and vomiting. Occasionally there were convulsions, and in walking she would often fall backwards. There was no deafness at any time. A week before death she was delivered of a living child, no one in the room knowing she was in labor until the cries of the child attracted their attention. Intense headache, with almost constant screaming for four days before death, and loss of control of the sphincters followed. Dr. Fitz described the tumor as being a vascular sarcoma. There was also
doi:10.1056/nejm187803280981305 fatcat:qdkfeozq7jeqviprp5iev7e3ny