PAPILLOMA OF THE FOURTH VENTRICLE

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Abstract
A butcher, 50 years old, complained of headache, dizziness and falling on walking. The past history was unimportant. Two and a half years ago he began to have headaches and pain in the lower part of the abdomen. One year ago he had an attack of influenza. During this period his headaches were less severe. During the two months before admission he had intense headaches accompanied by vomiting without nausea and was unable to walk without help. He fell to either side, but most frequently forward. During the past two weeks he had several attacks of unconsciousness lasting from two to ten minutes, unaccompanied by convulsions or twitchings. The positive findings in the physical examination were: questionable lateral nystagmus to both sides, at times a lateral nystagmus which was quite definite with a slow component to the right, the head held to the right in a cerebellar attitude, hypesthesia of

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