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LESIONS OF THE FUNDUS ASSOCIATED WITH BRAIN HEMORRHAGE

1939; American Medical Association; Volume: 42; Issue: 4 Linguagem: Inglês

10.1001/archneurpsyc.1939.02270220080004

2330-9628

L. L. Tureen,

Cerebral Venous Sinus Thrombosis

There is a general unawareness among clinicians of the incidence of ocular disturbances following hemorrhage of the brain. These complications have been recognized for fifty years or more; yet they have attracted comparatively little interest. Elschnig 1 expressed the belief that such changes are rare and that, when they appear, the level of the intracranial pressure bears no relation to them. In several of Elschnig's cases the fundi were normal, although at autopsy bleeding into the optic sheaths was demonstrated. Thyme, 2 Spiller, 3 Taylor, 4 Pearce, 5 Gordon, 6 Hawthorne, 7 Polstroff 8 and Meyer 9 described cases of intraventricular hemorrhage, but failed to mention the condition of the eyegrounds. In Hird's 10 case the disks appeared normal, but the retinal veins were congested. Winkelman and Eckel's 11 series consisted of 30 cases of massive hemorrhage of the brain, in the majority of which the ventricular system had been