The syndrome of spastic and paretic phases of a cyclic nature in oculomotor paralysis was first describde by Rampoldi in 1884. The first systematic description, however, was published in 1901 by Axenfeld and Schuerenberg, who in addition named the condition. The literature up to 1913 was reviewed by von Hippel, and 18 cases were found. In 1939 Bielschowsky1 stated that of the 32 cases in the literature he had observed 10.
REPORT OF A CASE
J. R., a man aged 32, was first seen in the early part of 1941 in the clinic of Dr. Willis Knighton at the New York Eye and Ear Infirmary. His past history disclosed that he had had chronic purulent otitis media on the right side for twenty years. At the present time there was no discharge. His ophthalmologic history began at the age of 6 months, when his mother first noticed a drooping