File:Diseases of the nervous system - a text-book of neurology and psychiatry (1915) (14779722001).jpg

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Identifier: diseasesofnervo00jell (find matches)
Title: Diseases of the nervous system : a text-book of neurology and psychiatry
Year: 1915 (1910s)
Authors: Jelliffe, Smith Ely, 1866-1945 White, William A. (William Alanson), 1870-1937
Subjects: Mental Disorders Nervous System Diseases
Publisher: Philadelphia : Lea & Febiger
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 246.—Depression in brain after removal of a frontal tumor. (Goodhart.) tumor; again an orderly and uniform progression in the developmentof a Jacksonian attack is valuable in localization. Monoplegias^ and monopareses are not infrequent from small lesions,and in the beginning of the tumor growth. Th€ slow extension of theparesis or paralysis is of diagnostic moment. Advancing hemiplegiais often accompanied by the vasomotor phenomena seen in hemor-rhage—especially in deep-seated lesions. The usual signs of an organicparalysis (q. v.) are present. Psychical symptoms of general nature are not infrequent. Occa-sionally large tumors will cause a Korsakow syndrome. Katatonic 1 Bergmark, Monoplegia, Brain, 1910. 504 TUMORS OF THE BRAIN symptoms may also appear. Sensory phenomena are frequent inpostcentral convolution tumors. The phenomena have been exten-sively described on p. 479, when speaking of sensory changes due tocortical and subcortical lesions.
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Fig. 247.—Multiple sarcoma of brain. (Larkin.) Central convolution tumors are among those more readily localizable,and usually more accessible to operative relief. Parietal Lohes.—When the tumors press forward toward the pos-terior central lobes sensory signs are produced like those mentionedon p. 479. Left-sided tumors, in right-handed persons, especially ofthe inferior parietal lobes, cause cortical sensory aphasia of Wernicke LOCAL SYMPTOMS—TEMPORAL LOBE 505 of various grades. Alexia and agraphia may also be foviiid in left-sidedlesions. Epileptic attacks with hallucinatory auras of taste occur; also ageneral Korsakow syndrome may develop. Other pathwaj^s from thesensor)^ areas may be cut off by tumors in this region; hence eitherhemianopsias, optic agnosias or optical aphasias (gyrus angularis).Apractic disturbances are of value in localizing left-sided tumors.Katatonic syndromes, confusion, apathy, or general loss of orientationmay be encountered but are equally present in

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