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Article
April 22, 1933

UNILATERAL CHOKED DISK DUE TO CHRONIC TONSILLAR INFECTION

Author Affiliations

PHILADELPHIA; ORWIGSBURG, PA.
From the Neurological Department, University of Pennsylvania School of Medicine.

JAMA. 1933;100(16):1233-1234. doi:10.1001/jama.1933.02740160017007
Abstract

The occurrence of choked disk (papilledema) is in the vast majority of cases, probably 90 per cent, due to cerebral neoplasm. Unilateral choking of a disk may also be found in a patient harboring a brain tumor, although as a rule involvement of the other disk soon occurs. However, two recent cases of brain tumor which have come under our observation and which were situated at the base of the right frontal lobe showed unilateral choking of the right disk of 5 and 4 diopters, respectively; the left disk in both cases was normal. When one is confronted with a case showing unilateral or bilateral choking of the disks, the initial and most important step is to rule out brain tumor; when that has been done as completely as possible, search must be made for the more uncommon causes, such as acute and chronic infections, toxemias, certain diseases of unknown

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