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May 9, 1914


Author Affiliations


From the Neurological Department of the Hospital of the University of Pennsylvania.

JAMA. 1914;LXII(19):1459-1461. doi:10.1001/jama.1914.02560440015006

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When one recalls in what close proximity the sixth, seventh and eighth nerves emerge at the base of the brain, it is hard to conceive of a lesion involving one of those nerves without affecting the others, and it is astonishing to think that any disease process could pick out the seventh nerve on each side, cause paralysis of that nerve and leave intact all the others, even the eighth, which lies in contact with it. Yet this has occurred, and there is at present such a case in the Hospital of the University of Pennsylvania.

Present Illness.  — patient, a white man, aged 32, came to the hospital Feb. 20, 1914, complaining of inability to move the muscles innervated by the seventh nerve on each side. He gave the following history of his present illness: About Jan. 1, 1914, while the patient was eating, he suddenly became aware of

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