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February 16, 1889


JAMA. 1889;XII(7):235-237. doi:10.1001/jama.1889.02400840019006

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Mr. Henry R. Swanzy's Bowman Lecture on " The Value of Eye Symptoms in the Localization of Cerebral Disease," delivered on November 9, 1888, is an important contribution to cerebral surgery. The recent advances in this field have brought increased responsibilities and increased anxiety for the surgeon called upon to treat focal cerebral disease; and the responsibility and anxiety are perhaps greatest at the outset, when the regional diagnosis has to be made. It is therefore of the utmost importance that the symptoms of each case of focal cerebral disease should be carefully noted, and that each autopsy should be made with the greatest precision; furthermore, such autopsies should be conducted by skilful pathologists and microscopists.

Mr. Swanzy is inclined to believe that eye-symptoms are too often not looked for at first, but are utilized rather as a dernier ressort. This is certainly a serious error; for not only are

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