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November 19, 1898


JAMA. 1898;XXXI(21):1225-1228. doi:10.1001/jama.1898.92450210026002h

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OPTIC NEURITIS.  Among the eye symptoms of brain tumor we naturally think first of optic neuritis, the most striking and significant symptom in cases of this class. Probably not a few practitioners have associated optic neuritis chiefly or wholly with intracranial disease or intracranial growths. But while it is right that great importance should be attached to this symptom, occurring as it does in 80 or 90 per cent, of all cases, it is necessary to point out that its discovery is far from establishing a diagnosis of brain tumor. It is of very little value to indicate the location of the tumor, and it is worthless as regards revealing the nature of the growth. But it does show with great probability that brain symptoms accompanying it are due to serious organic disease. Even here, however, its indication is not absolute, for, in common with these symptoms, it may arise

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