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December 18, 1909


Author Affiliations

Professor of Neuropathology and Associate Professor of Neurology in the University of Pennsylvania PHILADELPHIA

JAMA. 1909;LIII(25):2078-2086. doi:10.1001/jama.1909.92550250001001h

During the past year I have had the opportunity to observe a number of cases of brain tumor, certain features of which seem to me worthy of discussion. Especially noteworthy are the importance of gradually developing hemiplegia, the slow appearance of papilledema in certain cases of glioma, and later its remarkably rapid development, the resemblance of tumor of the pons to tumor of the Gasserian ganglion, and the signs of tumor of the occipital lobe, especially the dissociation of the color-sense in' tumor of the left occipital lobe.

DIAGNOSIS OF BRAIN TUMOR  The credit for pointing out that progressive hemiplegia without other symptoms is diagnostic of brain tumor seems to belong to R. T. Williamson. In his paper1 he states that it is well known that when hemiplegia is produced by a tumor in the motor cortex or white matter of one cerebral hemisphere the onset of the