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FREQUENCY WITH WHICH TUMORS IN VARIOUS PARTS OF THE BRAIN PRODUCE CERTAIN SYMPTOMS

FREQUENCY WITH WHICH TUMORS IN VARIOUS PARTS OF THE BRAIN PRODUCE CERTAIN SYMPTOMS Abstract This study was undertaken in the hope of obtaining additional evidence regarding cerebral localization of function and the mechanism by which certain symptoms are produced. The selection of intracranial neoplasm as the lesion to be studied is unorthodox. Vascular and traumatic lesions are usually chosen for this type of investigation. Vascular lesions are not, however, as strictly localized or as definitely localizable as is generally assumed. Traumatic injuries are rarely, if ever, tolerated in certain regions in which I am particularly interested. The method employed makes it possible to determine from a study of cases of tumor of the brain the intracranial area particularly concerned with the production of a given symptom. PREVIOUS INVESTIGATIONS It does not seem advisable at this time to attempt to review the formidable literature dealing with the symptomatology of tumors of the brain. A good bibliography of the old literature may be found in Oppenheim's References 1. Oppenheim, H.: Die Geschwülste des Gehirns , ed. 2, Vienna, A. Holder, 1902. 2. Cushing, H. W.: (a) The Pituitary Body and Its Disorders , Philadelphia, J. B. Lippincott Company, 1912 3. Tumors of the Nervus Acusticus and the Syndrome of the Cerebellopontile Angle , Philadelphia, W. B. Saunders Company, 1917 4. The Field Defects Produced by Temporal Lobe Lesions , Brain 44:341. 1921 5. Tumors Arising from the Blood Vessels of the Brain , Springfield, Ill., Charles C. Thomas, 1928 6. Neurohypophyseal Mechanisms from a Clinical Standpoint , Lancet 2:119 and 175, 1930. 7. Sachs, E.: Diagnosis and Treatment of Brain Tumors , St. Louis, C. V. Mosby Company, 1931. 8. Horrax, G.: Visual Hallucinations as a Cerebral Localizing Phenomenon , Arch. Neurol. & Psychiat. 10:532 ( (Nov.) ) 1923. 9. Parker, H. L.: Epileptiform Convulsions: The Incidence of Attacks in Cases of Intracranial Tumor , Arch. Neurol. & Psychiat. 23:1032 ( (May) ) 1930. 10. Martin, J. M.: Optic Neuritis in Intracranial Tumors , Lancet 2:81, 1897. 11. Dowman, C. E., and Smith, W. A.: Intracranial Tumors: A Review of 100 Verified Cases , Arch. Neurol. & Psychiat. 20:1312 ( (Dec.) ) 1928. 12. Frazier, C. H., and Gardner, W. J.: The Mechanism and Symptoms of Increased Intracranial Pressure Due to Encapsulated and Infiltrating Tumors of the Cerebral Hemisphere, in Intracranial Pressure, in Health and in Disease , Baltimore, Williams & Wilkins Company, 1929, p. 386. 13. von Monakow, C.: Die Lokalisation im Grosshirn und der Abbau der Funktion durch kortikale Herde , Wiesbaden, J. F. Bergmann, 1914. 14. Head, H.: Aphasia and Kindred Disorders of Speech , Brain 43:87, 1920. 15. Marie, P., and Foix, C.: Les aphasies de guerre , Rev. neurol. 31:53, 1917. 16. Goldstein, K.: Die Lokalisation in der Grosshirinde , in Bethe, A., et al.: Handbuch der normalen und pathologischen Physiologie , Berlin, Julius Springer, 1927, vol. 10, p. 600. 17. Benisty, A.: Les lésions de la zone rolandique (zone motrice et zone sensitive) par blessures de guerre , Paris, Vigot Frères, 1918. 18. Worcester, W. L.: Sclerosis of the Cornu Ammonis in Epilepsy , J. Nerv. & Ment. Dis. 24:228, 1897. 19. Steiner, P.: Epilepsie und Gliom , Arch. f. Psychiat. 46:1091, 1909-1910. 20. Wiglesworth, J., and Watson, G. A.: The Brain of a Macrocephalic Epileptic , Brain 36:31, 1913. 21. Bratz, E.: Das Ammonshorn bei epileptischen, paralytikern, senil-dementen und anderen Hirnkranken , Monatschr. f. Psychiat. u. Neurol. 46:56, 1920. 22. Koegerer, H.: Akute Ammonshornveränderungen nach terminalen epileptischen Anfällen , Ztschr. f. d. ges. Neurol. u. Psychiat. 85:211, 1923. 23. Weimann, W.: Zur Frage der akuten Ammonshornveränderungen nach epileptischen Anfällen , Ztschr. f. d. ges. Neurol. u. Psychiat. 90:83, 1924. 24. Spielmeyer, W.: Die Pathogenese der epileptischer Krampfanfällen: Histopathologischer Teil , Zentralbl. f. d. ges. Neurol. u. Psychiat. 44:764 ( (Oct. 15) ) 1926. 25. Morgan, L. O.: The Nuclei of the Region of the Tuber Cinereum: Degenerative Changes in Cases of Epilepsy, with a Discussion of Their Significance , Arch. Neurol. & Psychiat. 24:267 ( (Aug.) ) 1930. 26. Vogt, C., and Vogt, O.: Zur Lehre der Erkrankungen des striären Systems , J. f. Psychol. u. Neurol. 25:633, 1920. 27. Bielschowsky, M.: Weiter Bemerkungen zur normalen und pathologischen Histologie des striären Systems , J. f. Psychol. u. Neurol. 27:233, 1922. 28. von Bechterew, W.: Ueber die Lokalisation der Geschmackszentren in der Gehirnrinde , Arch. f. Anat. u. Physiol. , (supp.) , 1900, p. 145. 29. von Bechterew (footnote 18). 30. Henschen, S. E.: Ueber Geruchs- und Geschmackszentren , Monatschr. f. Psychiat. u. Neurol. 45:121, 1919. 31. Camus, P.: Hallucinations visuelles et hemianopsie , Encéphale 6:521, 1911. 32. Tilney, F., and Riley, H. A.: The Form and Function of the Central Nervous System , New York, Paul B. Hoeber, Inc., 1928. 33. Fulton, J. F., and Ingraham, F. D.: Emotional Disturbances Following Experimental Lesions of the Base of the Brain (Pre-Chiasmal) , J. Physiol. (Proc. Physiol. Soc.) 67:xxvii, 1929. 34. Beattie, J.; Brow, G. R., and Long, C. N. H.: Physiological and Anatomical Evidence for the Existence of Nerve Tracts Connecting the Hypothalamus with Spinal Sympathetic Centers , Proc. Roy. Soc. , London, s. B. 106:253, 1930.Crossref 35. Barrington, F. J. F.: Central Control of Micturition , Quart. J. Exper. Physiol. 5:81, 1925. 36. Karplus, J. P., and Kreidl, A.: Gehirn und Sympathicus: I. Zwischenhirnbases und Halssympathicus , Arch. f. d. ges. Physiol. 129:138, 1909.Crossref 37. Thumas, L. J.: Ueber das Brechcentrum und ueber die Wirkung einiger pharmakologischer Mittel auf dasselbe , Virchows Arch. f. path. Anat. 123:44, 1891.Crossref 38. Opendowski, T.: Ueber die nervösen Vorrichtungen des Magens , Zentralbl. f. Physiol. 3:1, 1889. 39. Adler, E.: Zur Lokalisation des Schlafzentrums , Med. Klin. 20:1321, 1924. 40. Economo, C. V.: Die Encephalitis lethargica , J. f. Psychol. u. Neurol. 38:253, 1917. 41. Hirsch, E.: Zur Pathologie der Schlafzentren , Deutsche Ztschr. f. Nervenh. 102:143, 1928.Crossref 42. Demole, V.: Pharmakologisch-anatomische Untersuchungen zum Problem des Schlafes , Arch. f. exper. Path. u. Pharmakol. 120:229, 1927.Crossref 43. Hess, W. R.: Stammganglien-Reizversuch , Ber. ü. d. ges. Physiol. 42:554, 1927. 44. Hartman, C. G.; Firor, W. M., and Geiling, E. M. K.: The Anterior Lobe and Menstruation , Am. J. Physiol. 95:662 ( (Dec.) ) 1930. 45. Camus, J., and Roussy, G.: Experimental Researches on Pituitary Body , Endocrinology 4:507, 1920.Crossref 46. Bailey, P., and Bremer, F.: Diabetes Insipidus and Genital Atrophy , Endocrinology 5:761, 1921.Crossref 47. Putnam, T. J.; Benedict, E. B., and Teel, H. M.: Studies in Acromegaly: Experimental Canine Acromegaly Produced by Injections of Anterior Lobe Pituitary Extract , Arch. Surg. 18:1708 ( (April) ) 1929.Crossref 48. Richter, C.: Experimental Diabetes Insipidus , Brain 53:76 ( (April) ) 1930.Crossref 49. Hiller, F., and Tannenbaum, A.: Nervous Regulation of Sugar Metabolism , Arch. Neurol. & Psychiat. 22:901 ( (Nov.) ) 1929. 50. Allers, R.: Nervensystem und Stoffwechsel , Ztschr. f. d. ges. Neurol. u. Psychiat. 19:209 and 321, 1920. 51. Smith, P. E.: Hypophysectomies in Rats: Adiposity Produced by Purely Suprahypophyseal Lesions , Am. J. Anat. 45:205, 1931. 52. Luciani, L., and Seppilli, G.: Die Funktion-Localization auf der Grosshirnrinde , Leipzig, Denike, 1886. 53. Ferrier, D.: The Croonian Lectures on Cerebral Localization , London, Smith, Elder & Co., 1890. 54. Jelliffe, S. E., and White, W. A.: Diseases of the Nervous System , Philadelphia, Lea & Febiger, 1919. 55. Fearing, F. W.: Experimental Study of Romberg Sign , J. Nerv. & Ment. Dis. 61:449, 1925. 56. Paton, L., and Holmes, G.: The Pathology of Papilledema , Brain 33:389, 1910-1911.Crossref 57. Unverricht: Experimentelle Untersuchungen ueber die Ursache des Exophthalmos , Klin. Wchnschr. 4:878, 1925.Crossref 58. Knott, J. F.: On the Cerebral Sinuses and Their Variations , J. Anat. 16:27, 1882. 59. Henrici and Kikuchi: Die Varietaeten der occipitalen Sinusverbindungen (Confluens sinuum) und ihre klinische Bedeutung , Ztschr. f. Ohrenh. 42: 321, 1903. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology & Psychiatry American Medical Association

FREQUENCY WITH WHICH TUMORS IN VARIOUS PARTS OF THE BRAIN PRODUCE CERTAIN SYMPTOMS

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American Medical Association
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Copyright © 1932 American Medical Association. All Rights Reserved.
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0096-6754
DOI
10.1001/archneurpsyc.1932.02240050003001
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Abstract

Abstract This study was undertaken in the hope of obtaining additional evidence regarding cerebral localization of function and the mechanism by which certain symptoms are produced. The selection of intracranial neoplasm as the lesion to be studied is unorthodox. Vascular and traumatic lesions are usually chosen for this type of investigation. Vascular lesions are not, however, as strictly localized or as definitely localizable as is generally assumed. Traumatic injuries are rarely, if ever, tolerated in certain regions in which I am particularly interested. The method employed makes it possible to determine from a study of cases of tumor of the brain the intracranial area particularly concerned with the production of a given symptom. PREVIOUS INVESTIGATIONS It does not seem advisable at this time to attempt to review the formidable literature dealing with the symptomatology of tumors of the brain. A good bibliography of the old literature may be found in Oppenheim's References 1. Oppenheim, H.: Die Geschwülste des Gehirns , ed. 2, Vienna, A. Holder, 1902. 2. Cushing, H. W.: (a) The Pituitary Body and Its Disorders , Philadelphia, J. B. Lippincott Company, 1912 3. Tumors of the Nervus Acusticus and the Syndrome of the Cerebellopontile Angle , Philadelphia, W. B. Saunders Company, 1917 4. The Field Defects Produced by Temporal Lobe Lesions , Brain 44:341. 1921 5. Tumors Arising from the Blood Vessels of the Brain , Springfield, Ill., Charles C. Thomas, 1928 6. Neurohypophyseal Mechanisms from a Clinical Standpoint , Lancet 2:119 and 175, 1930. 7. Sachs, E.: Diagnosis and Treatment of Brain Tumors , St. Louis, C. V. Mosby Company, 1931. 8. Horrax, G.: Visual Hallucinations as a Cerebral Localizing Phenomenon , Arch. Neurol. & Psychiat. 10:532 ( (Nov.) ) 1923. 9. Parker, H. L.: Epileptiform Convulsions: The Incidence of Attacks in Cases of Intracranial Tumor , Arch. Neurol. & Psychiat. 23:1032 ( (May) ) 1930. 10. Martin, J. M.: Optic Neuritis in Intracranial Tumors , Lancet 2:81, 1897. 11. Dowman, C. E., and Smith, W. A.: Intracranial Tumors: A Review of 100 Verified Cases , Arch. Neurol. & Psychiat. 20:1312 ( (Dec.) ) 1928. 12. Frazier, C. H., and Gardner, W. J.: The Mechanism and Symptoms of Increased Intracranial Pressure Due to Encapsulated and Infiltrating Tumors of the Cerebral Hemisphere, in Intracranial Pressure, in Health and in Disease , Baltimore, Williams & Wilkins Company, 1929, p. 386. 13. von Monakow, C.: Die Lokalisation im Grosshirn und der Abbau der Funktion durch kortikale Herde , Wiesbaden, J. F. Bergmann, 1914. 14. Head, H.: Aphasia and Kindred Disorders of Speech , Brain 43:87, 1920. 15. Marie, P., and Foix, C.: Les aphasies de guerre , Rev. neurol. 31:53, 1917. 16. Goldstein, K.: Die Lokalisation in der Grosshirinde , in Bethe, A., et al.: Handbuch der normalen und pathologischen Physiologie , Berlin, Julius Springer, 1927, vol. 10, p. 600. 17. Benisty, A.: Les lésions de la zone rolandique (zone motrice et zone sensitive) par blessures de guerre , Paris, Vigot Frères, 1918. 18. Worcester, W. L.: Sclerosis of the Cornu Ammonis in Epilepsy , J. Nerv. & Ment. Dis. 24:228, 1897. 19. Steiner, P.: Epilepsie und Gliom , Arch. f. Psychiat. 46:1091, 1909-1910. 20. Wiglesworth, J., and Watson, G. A.: The Brain of a Macrocephalic Epileptic , Brain 36:31, 1913. 21. Bratz, E.: Das Ammonshorn bei epileptischen, paralytikern, senil-dementen und anderen Hirnkranken , Monatschr. f. Psychiat. u. Neurol. 46:56, 1920. 22. Koegerer, H.: Akute Ammonshornveränderungen nach terminalen epileptischen Anfällen , Ztschr. f. d. ges. Neurol. u. Psychiat. 85:211, 1923. 23. Weimann, W.: Zur Frage der akuten Ammonshornveränderungen nach epileptischen Anfällen , Ztschr. f. d. ges. Neurol. u. Psychiat. 90:83, 1924. 24. Spielmeyer, W.: Die Pathogenese der epileptischer Krampfanfällen: Histopathologischer Teil , Zentralbl. f. d. ges. Neurol. u. Psychiat. 44:764 ( (Oct. 15) ) 1926. 25. Morgan, L. O.: The Nuclei of the Region of the Tuber Cinereum: Degenerative Changes in Cases of Epilepsy, with a Discussion of Their Significance , Arch. Neurol. & Psychiat. 24:267 ( (Aug.) ) 1930. 26. Vogt, C., and Vogt, O.: Zur Lehre der Erkrankungen des striären Systems , J. f. Psychol. u. Neurol. 25:633, 1920. 27. Bielschowsky, M.: Weiter Bemerkungen zur normalen und pathologischen Histologie des striären Systems , J. f. Psychol. u. Neurol. 27:233, 1922. 28. von Bechterew, W.: Ueber die Lokalisation der Geschmackszentren in der Gehirnrinde , Arch. f. Anat. u. Physiol. , (supp.) , 1900, p. 145. 29. von Bechterew (footnote 18). 30. Henschen, S. E.: Ueber Geruchs- und Geschmackszentren , Monatschr. f. Psychiat. u. Neurol. 45:121, 1919. 31. Camus, P.: Hallucinations visuelles et hemianopsie , Encéphale 6:521, 1911. 32. Tilney, F., and Riley, H. A.: The Form and Function of the Central Nervous System , New York, Paul B. Hoeber, Inc., 1928. 33. Fulton, J. F., and Ingraham, F. D.: Emotional Disturbances Following Experimental Lesions of the Base of the Brain (Pre-Chiasmal) , J. Physiol. (Proc. Physiol. Soc.) 67:xxvii, 1929. 34. Beattie, J.; Brow, G. R., and Long, C. N. H.: Physiological and Anatomical Evidence for the Existence of Nerve Tracts Connecting the Hypothalamus with Spinal Sympathetic Centers , Proc. Roy. Soc. , London, s. B. 106:253, 1930.Crossref 35. Barrington, F. J. F.: Central Control of Micturition , Quart. J. Exper. Physiol. 5:81, 1925. 36. Karplus, J. P., and Kreidl, A.: Gehirn und Sympathicus: I. Zwischenhirnbases und Halssympathicus , Arch. f. d. ges. Physiol. 129:138, 1909.Crossref 37. Thumas, L. J.: Ueber das Brechcentrum und ueber die Wirkung einiger pharmakologischer Mittel auf dasselbe , Virchows Arch. f. path. Anat. 123:44, 1891.Crossref 38. Opendowski, T.: Ueber die nervösen Vorrichtungen des Magens , Zentralbl. f. Physiol. 3:1, 1889. 39. Adler, E.: Zur Lokalisation des Schlafzentrums , Med. Klin. 20:1321, 1924. 40. Economo, C. V.: Die Encephalitis lethargica , J. f. Psychol. u. Neurol. 38:253, 1917. 41. Hirsch, E.: Zur Pathologie der Schlafzentren , Deutsche Ztschr. f. Nervenh. 102:143, 1928.Crossref 42. Demole, V.: Pharmakologisch-anatomische Untersuchungen zum Problem des Schlafes , Arch. f. exper. Path. u. Pharmakol. 120:229, 1927.Crossref 43. Hess, W. R.: Stammganglien-Reizversuch , Ber. ü. d. ges. Physiol. 42:554, 1927. 44. Hartman, C. G.; Firor, W. M., and Geiling, E. M. K.: The Anterior Lobe and Menstruation , Am. J. Physiol. 95:662 ( (Dec.) ) 1930. 45. Camus, J., and Roussy, G.: Experimental Researches on Pituitary Body , Endocrinology 4:507, 1920.Crossref 46. Bailey, P., and Bremer, F.: Diabetes Insipidus and Genital Atrophy , Endocrinology 5:761, 1921.Crossref 47. Putnam, T. J.; Benedict, E. B., and Teel, H. M.: Studies in Acromegaly: Experimental Canine Acromegaly Produced by Injections of Anterior Lobe Pituitary Extract , Arch. Surg. 18:1708 ( (April) ) 1929.Crossref 48. Richter, C.: Experimental Diabetes Insipidus , Brain 53:76 ( (April) ) 1930.Crossref 49. Hiller, F., and Tannenbaum, A.: Nervous Regulation of Sugar Metabolism , Arch. Neurol. & Psychiat. 22:901 ( (Nov.) ) 1929. 50. Allers, R.: Nervensystem und Stoffwechsel , Ztschr. f. d. ges. Neurol. u. Psychiat. 19:209 and 321, 1920. 51. Smith, P. E.: Hypophysectomies in Rats: Adiposity Produced by Purely Suprahypophyseal Lesions , Am. J. Anat. 45:205, 1931. 52. Luciani, L., and Seppilli, G.: Die Funktion-Localization auf der Grosshirnrinde , Leipzig, Denike, 1886. 53. Ferrier, D.: The Croonian Lectures on Cerebral Localization , London, Smith, Elder & Co., 1890. 54. Jelliffe, S. E., and White, W. A.: Diseases of the Nervous System , Philadelphia, Lea & Febiger, 1919. 55. Fearing, F. W.: Experimental Study of Romberg Sign , J. Nerv. & Ment. Dis. 61:449, 1925. 56. Paton, L., and Holmes, G.: The Pathology of Papilledema , Brain 33:389, 1910-1911.Crossref 57. Unverricht: Experimentelle Untersuchungen ueber die Ursache des Exophthalmos , Klin. Wchnschr. 4:878, 1925.Crossref 58. Knott, J. F.: On the Cerebral Sinuses and Their Variations , J. Anat. 16:27, 1882. 59. Henrici and Kikuchi: Die Varietaeten der occipitalen Sinusverbindungen (Confluens sinuum) und ihre klinische Bedeutung , Ztschr. f. Ohrenh. 42: 321, 1903.

Journal

Archives of Neurology & PsychiatryAmerican Medical Association

Published: Nov 1, 1932

References