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Article
January 1942

OCULAR SIGNS OF INTRACRANIAL SACCULAR ANEURYSMSEXPERIMENTAL WORK ON COLLATERAL CIRCULATION THROUGH THE OPHTHALMIC ARTERY

Author Affiliations

BALTIMORE
From the Wilmer Ophthalmological Institute, Johns Hopkins Hospital; the Department of Neurology, Johns Hopkins Hospital, and the Department of Medicine, Baltimore City Hospital.

Arch Ophthalmol. 1942;27(1):1-33. doi:10.1001/archopht.1942.00880010015001
Abstract

This paper was written with the purpose of reviewing the present state of knowledge on the ocular signs of saccular aneurysms at the base of the brain. It is divided into three parts. Part 1 illustrates the topical diagnosis from the standpoint of ocular signs. This has already been treated by Jefferson,1 whose paper, which appeared in 1937, was largely based on his own cases but also reviewed cases in the literature. Part 1 of the present paper does not contain new material but is included for its intrinsic interest. Part II contains a description of ocular signs which, so far as we are aware, have not hitherto been associated with intracranial aneurysms. The most important of these signs, abnormalities of ocular movement and pupillary changes, are caused by misdirection of regenerated third nerve fibers. An additional abnormal lid movement and pupillary phenomenon are recorded, both of which are

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