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Article
September 21, 1912

NASAL HYDRORRHEA: ITS RELATIONS TO LESIONS OF THE BRAIN AND VISUAL APPARATUS

JAMA. 1912;LIX(12):1038-1041. doi:10.1001/jama.1912.04270090282050
Abstract

The peculiar condition known as nasal hydrorrhea although it generally falls, first of all at least, within the purview of the rhinologist and ophthalmic surgeon, properly belongs to neither of these specialists. The tissue alterations that result in the serous discharge from the nose are almost always cranial and cerebral and, of course, should be the special property, not of the rhinologist but of the neurologist. It so happens, again, that this peculiar symptom is not infrequently associated with brain changes that affect the visual centers and give rise to eye symptoms. It is mainly with the latter that I propose to deal, although I present them as signs of the underlying, intracranial disease.

The first examples of the disease were reported as long ago as 1890,1 by Dr. T. Melville Hardie and myself. Of these I now give the following abstract (Cases 1 and 2).

Case 1.  —Mrs.

References
1.
Hardie and Wood:  Two Cases of Nasal Hydrorrhea, with a Report on the Eye Symptoms ,  New York Med. Jour. , (Sept. 6) , 1890, p. 204.
2.
Vieusse:  Gaz. hebd. de med. , 1870, No. (19) . p. 298.
3.
Rees:  London Med. and Surg. Jour. , 1834, iv, 823.
4.
Paget:  Tr. Clin. Soc. London , 1879, p. 48.
5.
Althaus:  Brit. Med. Jour. , 1878, ii, 831.
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Leber:  Arch. Ophth. (Graefe's) , xxix, 273.
7.
Smith Priestley:  Ophth. Rev., London , II, 4.
8.
Nettleship:  Ophth. Rev., London II , p. 1.
9.
Bosworth:  Treatise on Diseases of the Nose and Throat, New York , 1889, 1, 261.
10.
Mules:  Tr. Ophth. Cong., Heidelberg , 1888.
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