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Daniel Weller

due to vascular changes in the parenchyma of the lung, were most interesting. The nature of the lesion and the slow progression of the changes in the lung, as shown by roentgenologic examination, were not characteristic of metastasis but rather of a pneumonitis. The neurologic signs pointed to direct involvement of the posterior columns, the pyramidal tract and the spinothalamic pathways. The true nature of the lesion was not suspected until these structures became involved. SUMMARY A case is reported of a tumor of the fourth ventricle which manifested

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Cerebral Schistosomiasis

Report of a Case with Surgical Removal of an Intracerebral Mass of Schistosomal Ova

I. Joshua Speigel

. Distomiasis cerebri). Dtsch. Z. Chir. , 1939 , 252 : 705 – 710 . Kawai , N. Ein erfolgreich operierter Fall von Lungenegelerkrankung des Gehirns (Paragonimiasis s. Distomiasis cerebri). Dtsch. Z. Chir. , 1939, 252: 705–710. 17. Lunedei , A. , and Rosselli del Turco , L. Il primo caso nell'uomo di metastasi cerebrale di fasciola hepatica in soggetto osservato in Italia. Considerazioni generali sulla distomatosi umana da fasciola. Riv. clin. Med. , 1934 , 35 : 465 – 498 . Lunedei , A., and Rosselli del Turco , L

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Cerebral Swelling

Histopathology, Classification and Clinical Significance of Brain Edema

I. Mark Scheinker

both lateral ventricles; and (6) shift of the midline structures and of the third ventricle from the side of the cerebral swelling toward the opposite hemisphere when the swelling is unilateral ( Fig. 1 ). Fig. 1. Swelling of left hemisphere produced by carcinoma metastasis of left frontal lobe. Note the considerable increase in bulk of entire left hemisphere, enlargement of the white matter, and compression and displacement of both lateral ventricles. It is the author's belief that the condition referred to grossly as “cerebral swelling” is

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Eduard Busch and Erna Christensen

for an angionecrotic one, while the angionecrotic type has never been taken for anything else. The magnocellular type has occasionally been mistaken for a metastatic tumor, but is usually considerably larger than the average metastasis. CLINICAL SYMPTOMS, TREATMENT, AND RESULTS Sex In most materials of glioblastomas the male sex preponderates. In our series of 133 patients 92 were men, and 41 women. Age The average age of our first 102 patients does not differ markedly from that in other materials. Dividing the patients into the three groups we

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John E. Scarff

, and a diagnosis of metastasis to the cervical lymph glands and deeper structures of the neck was made, and intensive X-ray therapy was given. The patient was readmitted to the Kingsbridge Road Hospital in January, 1948, this time for relief of intractable pain. The pain was located principally behind the right ear but spread upward toward the vertex and forward into the face. It was constant, sharp, and quite severe, and was also referred deeply into the external auditory canal. Swallowing and chewing intensified the pain. It was confined completely to the right

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Harry Wilkins, Ronald Smith and Béla Halpert

central nervous system must be given special consideration when one attempts to correlate their structure with their behavior. Growths obviously cancerous, which originate from cellular elements of the central nervous system, expand usually by direct extension invading and replacing adjacent tissues and only rarely by seeding along the cerebrospinal pathways, and practically never by metastasis. In our case there was variation in the height of the cells with a seeming loss of their polarity. The cell nuclei stained deeply, and there was invasion of the subjacent brain

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Charles E. Troland and Carroll A. Brown

. Large sella turcia by X-ray. Tumor of pineal structure removed from sella, Not known. Globus and Silbert, 26 after a thorough study of the development of the pineal body and of 7 pineal tumors, postulated that these tumors represent autochthonous teratomata. As previously mentioned, Russell 44 considered the lesions to be teratomata. In this connection, it is of interest that the tumor in the case of Horrax was originally thought to be a metastasis from a malignant testicular neoplasm. Ford and Muncie 23 in their original report did not give any

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Meningeal Meningiomatosis

Report of Case

Alfred Uihlein, Edward M. Gates and Robert G. Fisher

normal results. Roentgenograms of the entire spinal column, head and thorax failed to show any abnormalities. Lumbar punctures were attempted on several occasions but were always unsuccessful since no spinal fluid could be obtained. An EEG made on July 9, 1947, revealed generalized delta activity that was most marked posteriorly. At that time deafness in the right ear was noted. The diagnosis of intracranial neoplasm with metastasis to the lower part of the lumbosacral region was made. Operation . Because of the severe and unbearable pain which could not be

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Arthur R. Elvidge and Maitland Baldwin

. SECONDARY SITES OF GROWTH Tumours arising from the lung and bronchus metastasized to the following parts of the central nervous system, in order of frequency: to the cerebrum, 11; to the cerebellum, 5; to the vertebral column, 1. Two cases showed metastasis to both cerebrum and cerebellum, and 1 case showed metastases to the skull and spine. There were 12 tumours arising in the right lung or bronchi. These showed metastases to both the right and left sides of the brain and to the vertebral column, as follows: right cerebrum, 5; right cerebellum, 1; left cerebrum, 1

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Metastasizing Cerebellar Tumors

The Difficulty in Distinguishing Between Medulloblastoma and Neuroblastoma

Robert P. Barden and Frederic H. Lewey

, it is possible that the cerebellar tumor for which a patient requires hospitalization is a metastasis from an occult primary tumor outside the central nervous system. Since it is conceivable that this situation may be present in any given case with the clinical and histological picture of medulloblastoma, it would seem essential that the pre-operative evaluation of the patient include a search for a primary tumor elsewhere than the brain, and particularly an intravenous urogram and roentgen survey of the skeleton and chest. If, as a result of these studies, the