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On the Cerebro-spinal Origin and the Diagnosis of the Protrusion of the Eyeballs termed Anæmic

Published online by Cambridge University Press:  19 February 2018

Thomas Laycock*
Affiliation:
University of Edinburgh

Extract

During the last few years, says Dr. Laycock, the attention of the profession has been directed to a disease in which there is more or less of a general debility resembling anæmia, considerable and varied nervous disorder, greatly increased activity of the heart and of the arteries of the head and neck, a vascular enlargement of the thyroid gland resembling bronchocele, and staring eyes, with protrusion of the eyeballs, giving a peculiar expression to the face. This latter appearance, known as exophthalmos, exophthalmia, and proptosis, has attracted especial attention.

Type
Part III.—Quarterly Report on the Progress of Psychological Medicine
Copyright
Copyright © Royal College of Psychiatrists, 1863 

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References

* Anæmia and its consequences: Enlargement of the Thyroid and Eyeballs;” in ‘Contributions to Practical Medicine,’ p. 116.Google Scholar

* Note as to the state of the Eyes in Cerebral Mental Diseases.—Three years ago, Dr. Rorie, superintendent of the Dundee Asylum, examined, at Dr. Laycock's request the eyes of patients under his care, in respect to their prominence, state of pupil, and other matters. Of each sex, 86 were examined; of the females, 26 had prominent and 4 very prominent eyes, together, nearly 35 per cent.; of the males, 11 had prominent and 6 very prominent eyes; showing the considerable excess of 15 per cent. amongst the females. It is required to know, however, what is the natural proportion, absolute and relative, before we can determine how far these states amongst the insane are morbid. Changes in the pupils were also observed by Dr. Rorie, and he found that there was a difference in the two eyes. Of 7 females, the left pupil was more dilated than the right in 5, and of 8 males 6; or, in other words, the left was more dilated than the right in the proportion of 11 in 15. But then he found also that the same difference could be observed in persons apparently healthy. One only in 172 patients had sunken or retracted eyes, and he was formerly subjected to paroxysms of rotatory movements, and one, an epileptic male, had the left eye more prominent than the right.Google Scholar

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