1907/10/01 by August Hoch
Medicine · #Psychosomatic Disorders and Their Treatments
paper · doi:10.1097/00005053-190710000-00019
PHILADELPHIA NEUROLOGICAL SOCIETY thereto was much thickened and milky in appearance.The anterior horns of the lateral ventricles were contracted and showed numerous adherent bands.The floor of the lateral ventricle was distinctly thick¬ ened.There was no softening or hemorrhage anywhere within the brain.The superior longitudinal sinus contained an ante-mortem clot.The pons, medulla and spinal cord were normal.The thickening of the pia was due to an overgrowth of the connective tissue without round cell infiltration.Many of the Betz cells of the cortex were markedly de¬ generated.The case is interesting on account of the occurrence of the convulsions due to primary disease of the cortical cells.It is also interesting on account of the nature of the convulsions themselves, some¬ times occurring on one side, sometimes on the other.Dr. Spiller stated that some years ago he had a case similar to this.The man had unilateral convulsions first on one side of the body and then on the other, caused by an extradural hemorrhage in the occipital region.The patient was operated upon and the hemorrhage removed.There seemed to be irritation first on one side of the brain and then on the other.