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From the Archives of the Archives
May 1999

A look at the past. . .

Arch Ophthalmol. 1999;117(5):657. doi:10.1001/archopht.117.5.657

ANGELUCCI reports a case of choked disc dependent upon an intracranial neoplasm or focus of inflammation, which, after the reduction of intracranial pressure by trephining, partially passed off. The patient, a woman of 31, had suffered for a year with various nervous symptoms, when sight began to fail, until finally the right eye became blind and vision in the left was reduced to 112. The diagnosis of brain tumor was made, the left occipital region was trephined, the dura divided, and an incision made into the presenting lobule of the cerebellum. The symptoms remained stationary for a time, but four months after the operation the swelling of the disc was much diminished and the vision of the left eye still was 130.

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