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July 1952

OBSCURATIONS AND FURTHER TIME-RELATED PAROXYSMAL DISORDERS IN INTRACRANIAL TUMORSSyndrome of Initial Herniation of Parts of the Brain Through the Tentorial Incisure

Author Affiliations


From the State Department of Neurosurgery and the Ophthalmological Clinic, City Hospital.

AMA Arch NeurPsych. 1952;68(1):130-149. doi:10.1001/archneurpsyc.1952.02320190136013

SUDDEN and rapidly transient attacks of blurred vision affecting both eyes are not an uncommon occurrence. In some instances the condition may progress to complete "blindness," followed by immediate and complete recovery of vision. In the present paper, these various types of blurring and dimming of vision and "black-out" will be denoted by the common term "obscurations." Such attacks have repeatedly been described in cases of intracranial tumor. Their prevalence in cases in which the tumor is located below the tentorium has been pointed out by a number of writers,1 usually with comments on the genesis of the attacks. Spasm of the retinal arteries, for example, has been assumed to be the causal factor. In cases of intracranial tumors the attacks have tentatively been accounted for by the pressure exerted upon the optic nerve in the optic canal, or by the pressure on the intracranial portion of the nerve