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February 1921

A CASE OF ALTERNATING HEMIPLEGIA (MILLARDGUBLER), WITH REMARKS ON THE PATHS OF THE PUPILLO-DILATOR AND VESTIBULO-OCULAR FIBERS IN THE BRAIN STEM

Arch NeurPsych. 1921;5(2):166-176. doi:10.1001/archneurpsyc.1921.02180260055006
Abstract

Sharply defined anatomic lesions of the brain stem have recently acquired a new interest in so far as they are now able to furnish us exact information as to the course of those fibers which come from the upper part of the mesencephalon and extend to the centrum ciliospinale. Irritation of these fibers produces psychic as well as reflex dilatation of the pupils. Information is also furnished regarding the path of those other fibers that transmit the irritation from the vestibular apparatus to the oculopontile nuclei. The following case is of interest in this connection.

REPORT OF A CASE 

History.—  Felipe de LI., 31 years old, an engineer, complained Oct. 23, 1918, of reduction of visual acuity. He had always been healthy and strong. There were no family diseases. He denied syphilitic infection. When he was 11 years old, he fell from a height of 3 meters, on his cranium;

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