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March 1941

NEOPLASM OF THE POSTERIOR FOSSA SIMULATING CEREBRAL VASCULAR DISEASEREPORT OF FIVE CASES WITH REFERENCE TO THE ROLE OF THE MEDULLA IN THE PRODUCTION OF ARTERIAL HYPERTENSION

Author Affiliations

ORANGEBURG, N. Y.

From the Department of Neurology, S. P. Goodhart, Chief, Montefiore Hospital for Chronic Diseases, New York, and the Rockland State Hospital, R. E. Blaisdell, Superintendent, Orangeburg, N. Y.

Arch NeurPsych. 1941;45(3):468-480. doi:10.1001/archneurpsyc.1941.02280150076004
Abstract

The purpose of this communication is to present 5 cases in which the diagnosis of tumor of the brain was made either shortly before death or at necropsy. An attempt will be made to reconstruct in retrospect the sources of errors committed in each case.

REPORT OF CASES 

Case 1.  —A man aged 58 had headache, dysphagia and weakness following an attack of bronchitis. Temporary improvement was followed by an exacerbation of symptoms. Signs of bilateral involvement of the pyramidal tracts, cerebellum and bulb were noted. The clinical diagnosis was multiple sclerosis, pseudobulbar palsy or vascular disease of the pons. At necropsy a tumor of the cerebellopontile angle was found.The past and family histories were of no significance. In February 1927, about one and one-half years before the patient's admission to the neurologic division of the Montefiore Hospital, after an attack of bronchitis, there developed severe headache, difficulty in

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