Transactions of the Southern Surgical and Gynecological Association (Volume 28) (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1916. Excerpt: ... PULSATING EXOPHTHALMOS, WITH REPORT OF A CASE CURED BY LIGATION OF THE COMMON CAROTID ARTERY The subject of pulsating exophthalmos has been studied by many writers, notably Sattler, Eysen, and de Schweinitz and Holloway, whose monographs cover the reported cases to 1908. Sattler has collected 106 cases, Eysen 167, and de Schweinitz and Holloway 69, a total of 342. A study of these cases, however, reveals the fact that a number of cases are duplicated in Eysen's and de Schweinitz's and Holloway's lists, reducing the actual number to 256. Since de Schweinitz's and Holloway's study there have appeared in the literature 52 cases of pulsating exophthalmos. These I have collected and made, together with my own case, the basis of this study. The symptom-complex of pulsating exophthalmos has been shown by operation and autopsy to be caused by one or more of the following lesions: aneurysm of the ophthalmic artery inside or outside of the skull, pulsating orbital tumors, aneurysmal dilatation of the internal carotid artery in the cavernous sinus, thrombosis of the cavernous sinus and ophthalmic vein, arteriovenous aneurysm of the orbit, pressure on the sinus by an external growth, and rupture of the internal carotid into the cavernous sinus. This paper will concern itself solely with those cases probably due to rupture of the internal carotid into the cavernous sinus, whether caused by trauma or occurring spontaneously. I say probably, for the diagnosis is not always certain, as Wilder found no lesion of the carotid in six clinically characteristic cases which came to autopsy. There were no postmortems made in my series. In this series of 53 cases 37 were found to be traumatic in origin, 9 occurred spontaneously, while in 7 the cause was not given. The average age...