The greatest problem in the successful management of a brain abscess is in the diagnosis of the lesion. If the medical profession is to make any satisfactory progress in the management of the disease, the physician must first determine why a patient suffering from a brain abscess so frequently goes unrecognized until it is too late for surgical intervention.
Bagley1 has aptly said that the fear of the presence of a brain abscess frequently prevents the physician from facing the unpleasant situation until the appearance of grave symptoms. In one way, a brain abscess offers the physician more than any other pathologic lesion, because he knows that it is always fatal if not operated on. There is no organ in the human body that can conceal its trouble so carefully as a brain which harbors an abscess. Nor is there a pathologic lesion that explodes with such sudden and
DIXON OJ. BRAIN ABSCESS AS THE OTOLOGIST'S PROBLEM. JAMA. 1931;96(7):481–487. doi:10.1001/jama.1931.02720330001001