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ABDOMINAL PAIN AS A SYMPTOM OF DISEASE OF THE BRAIN

1935; American Medical Association; Volume: 105; Issue: 9 Linguagem: Inglês

10.1001/jama.1935.02760350007003

2376-8118

I. S. Wechsler,

Adrenal and Paraganglionic Tumors

Abdominal pain is not generally associated with disease of the brain; when gastric distress does occur in tumors or other cerebral conditions it is either ignored or casually explained on the basis of the associated nausea and vomiting. Occasionally, if the pain is sufficiently severe, gastro-intestinal or gallbladder disease is thought of, as is also the possibility that the cerebral condition is secondary or metastatic in nature. The very rare occurrence of abdominal pain as a symptom of tumors of the fourth ventricle is not generally referred to (Ernest Sachs some time ago reported one case) or regarded as clinically important, and when fleeting thought is given to the fact the opinion ventured is that it may have something to do with the vagus. Many years ago I saw a boy (case 1) with a frontal epidural abscess who presented a clinical picture of acute appendicitis. He was operated on,