d, but were wide; objects could be distinguished, and also
persons. Otherwise, the man's condition was good: he began to
get up, and at the end of six weeks returned to England.
A year later the man was earning his living as a Commissionaire
porter. He complains of giddiness when he stoops, or when he
looks upwards, and at times he suffers much with headache both
in the region of the injury and across the temples.
There is a bony defect and slight pulsation at the site of the
injury, but no prominence. When attempts are made to read the
lines run together, and a dark shadow comes before his eyes. He
speaks of the latter as still terribly weak. Speech is slow and
somewhat simple, but he makes no mistakes as to words. Memory
is bad for recent events.
Mr. Fisher makes the following report as to the eyes: Pupils
and movement of eyes normal in every respect. No changes in
fundi.
Vision, R. 5/12 with--0.5 5/6
L. 5/9 with--0.5 5/5
[Illustration: FIG. 73.--Right Visual Field, in case 65. Injury to left
occipital lobe. Field for white. Test spot 10 mm. Good daylight. Right
homonymous hemianopsia]
[Illustration: FIG. 74.--Left Visual Field, case 65]
There is therefore practically full direct vision. Though the
man chooses a concave glass he is not really myopic. There is
typical right homonymous hemianopsia; the answers, when tested
with the perimeter, are quite certain, and the fields
absolutely reliable.
The man's statements confirm the condition; he is aware of his
inability to see objects to his right-hand side, and is apt to
collide with persons or objects on that side.
The lesion is one of the left occipital cortex in the cuneate
lobe and the neighbourhood of the calcarine fissure. The speech
suggests a slight degree of aphasia.
(66) _Injury to occipital lobes._--Wounded at Magersfontein
while in prone position. Distance, 500 yards. He says he was
never unconscious, but for two days was absolutely blind. His
eyesight gradually improved, but headache was very severe, and
sleeplessness nearly absolute. On the eighth day the wound,
which was situated over the right posterior superior angle of
the parietal bone, was opened up, and a number of fragments of
bone and a quantity of pulped brain removed from a
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