This case report pertains to a retired police officer now 62 years of age. He was first seen twenty years ago in 1926 by the late Dr. T. E. Locke, who diagnosed a cystic tumor of the right parietal lobe of the brain. Some of the records were lost in the Cleveland Clinic disaster of 1929, destroying a few details of the history.
On April 8, 1926, a man, aged 42, was referred to Cleveland Clinic. He complained of attacks of bitemporal and occipital headaches of about six months’ duration, occasionally accompanied by vomiting. During the past three months a tremor and a paresis developed in the left arm and, to a lesser extent, in the left leg. These symptoms were associated with frequent attacks described by the patient as “drawing sensations”. Attacks started with tingling in the finger tips of the left hand and proceeded up the arm, the left arm being drawn toward the head. The left labial commissure then drew to the left, followed by the remainder of the lower facial muscle group. At this point the patient lost consciousness and fell hard enough to injure his face. This coma apparently lasted about an hour. Vomiting occurred. Urethral and rectal sphincter control was maintained. In the last month a transient blurring of vision appeared and headaches became excruciating.
Physical examination at this time disclosed a left homonomous hemianopsia, bilateral papilledema, and retinal hemorrhages (fig. 1). The lower facial muscles, arm, and leg exhibited weakness on. . .