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November 11, 1916


JAMA. 1916;LXVII(20):1423-1430. doi:10.1001/jama.1916.02590200017006

I. TUMORS OF THE THIRD VENTRICLE  In 1910 T. H. Weisenburg,1 on the basis of thirty reported cases with necropsy, succeeded in bringing out the salient features of tumors arising within the third ventricle and thus establishing a syndrome which necessarily is ill defined, as the symptoms are either due to pressure on neighboring structures or to secondary hydrocephalus. Among the former symptoms are paralysis of the associated ocular movements, exophthalmos, large pupils with impaired reaction, and ataxia of the cerebellar type. Of the few cases reported later, one by Lewis J. Pollock2 may be memtioned, as the appearance of the tumor on cross section of the brain closely resembles that of the one to be related here.

Case 1.  —Boy, 14 years old, with rather precocious genital and hairy development suggesting hyperpinealism. Limitation of ocular movements. Papillitis and blindness. Ataxia. Headache; drowsiness; mental dulness. Soft glioma filling