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CARCINOSIS OF BRAIN AND SPINAL CORD.

WALTER TIMME, M.D.
JAMA. 1907;XLIX(4):314-316. doi:10.1001/jama.1907.25320040026002g.
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ABSTRACT

This case is of rather more than usual interest inas-much as no diagnosis of the true lesion in the brain had been made before death. Five or six eminent neurologists at various times saw and carefully examined the patient in the course of the last two years, and their diagnoses varied from a "pure hysteria" to "neuritis based on morphinism." Only in a single instance did the opinion come near the truth. This was at a consultation about two years ago, at which it was maintained that the patient suffered from a metastatic tumor of the cord. It is only just to state that this latter diagnosis was, I believe, arrived at by exclusion and not directly from any symptoms. Nothing was stated of any possible brain involvement at any time. When it is seen how greatly the cerebral cortex had been interfered with, one can but wonder at the

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