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Article
November 20, 1926

GLIOMA OF PONS VAROLII SIMULATING A FRONTOMOTOR TUMOR

JAMA. 1926;87(21):1731-1735. doi:10.1001/jama.1926.02680210037012
Abstract

Tumors below the tentorium cerebelli, interfering with the circulation of the cerebral fluid, produce general symptoms early—headache, vomiting, choked disk. Infiltrating growths of the brain-stem may produce local symptoms early with latent general symptoms. In the case to be reported, the symptom group, while pointing to a definite brain-stem involvement, still savors largely in the main of a lesion involving the frontomotor region, as evidenced by a right-sided hemiplegia associated with an unstable emotional state in which forgetfulness and alternating phases of mild exaltation and depression with crying episodes played an important rôle, and consequently increased the difficulty in accurately localizing the tumor.

REPORT OF CASE 

History.  —J. B. B., a white man, aged 56, a veterinarian and farmer, seen, Oct. 3, 1922, complained chiefly of weakness of the right arm and leg, double vision, fulness in the head, vomiting, and thickness of speech. The fulness in the head had

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