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October 1959

Tumors of the Brain Stem with Special Reference to Ocular Manifestations

AMA Arch Ophthalmol. 1959;62(4):541-554. doi:10.1001/archopht.1959.04220040003001

The invitation received to address the Section on Ophthalmology is an honor indeed. This is doubly true under the chairmanship of your distinguished Dr. Frank B. Walsh, who has contributed so much in the field of neuro-ophthalmology.

The past 30 years have seen a great improvement in the diagnosis of tumors of the brain and particularly in their early recognition. Ophthalmologists especially have contributed to this progress. In the late 1920's and early 1930's between 75% and 85% of all patients with tumors of the brain had papilledema by the time they reached the neurological surgeon. Today not more than 30% of the patients who are operated upon for tumors of the brain have such ophthalmoscopic findings. This is obviously the result of the earlier recognition of these tumors and has enabled the neurosurgeon to improve his results and to lower the mortality from his operations. This earlier recognition has