Continuing the discussion of brain tumor and its surgical treatment, I will first speak of the
Symptoms of Cerebellar Tumor.
—Tumor of the cerebellum may give rise to no characteristic symptoms whatever. Loomis has reported a case in which there was simply a low grade of fever; yet the post-mortem examination revealed a cerebellar tumor as large as an orange. Commonly, however, there are marked symptoms—sometimes so pronounced as to make localization absolutely certain: vomiting with occipital headache and general failure of health, without other discoverable cause, will almost certainly call attention to the proper region; besides, as the tumor grows, pressure symptoms arise. They are thus enumerated by Wood: "Encroachment on the medulla may lead to imperfect hemiplegia or even to great motor failure; or hypoglossal, or facial, or other local paralysis may result from the pressure exerted by the enlarged cerebellar hemisphere upon nerve trunks. If the trigeminus
LANPHEAR E. LECTURES ON INTRACRANIAL SURGERY.VI—BRAIN TUMOR AND ITS SURGICAL TREATMENT. JAMA. 1895;XXIV(17):613–616. doi:10.1001/jama.1895.02430170001001
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