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October 1939

LESIONS OF THE FUNDUS ASSOCIATED WITH BRAIN HEMORRHAGE

Author Affiliations

ST. LOUIS

From the Department of Neuropsychiatry, Washington University School of Medicine; the Neurological Service and Laboratory of the City Hospital, and the Laboratory of the Jewish Hospital.

Arch NeurPsych. 1939;42(4):664-678. doi:10.1001/archneurpsyc.1939.02270220080004
Abstract

There is a general unawareness among clinicians of the incidence of ocular disturbances following hemorrhage of the brain. These complications have been recognized for fifty years or more; yet they have attracted comparatively little interest. Elschnig1 expressed the belief that such changes are rare and that, when they appear, the level of the intracranial pressure bears no relation to them. In several of Elschnig's cases the fundi were normal, although at autopsy bleeding into the optic sheaths was demonstrated. Thyme,2 Spiller,3 Taylor,4 Pearce,5 Gordon,6 Hawthorne,7 Polstroff8 and Meyer9 described cases of intraventricular hemorrhage, but failed to mention the condition of the eyegrounds. In Hird's10 case the disks appeared normal, but the retinal veins were congested. Winkelman and Eckel's11 series consisted of 30 cases of massive hemorrhage of the brain, in the majority of which the ventricular system had been

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