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To the Editor:—
I was interested to read in the issue of March 9 the report on visualization of otogenic brain abscess. My interest is aroused because of my use of this method in June 1935.A man aged 55 had a slowly developing neurologic ailment which eventually resulted in right sided paresis and speech difficulty. The condition was considered to be due to cerebral arteriosclerosis with probable thrombosis. This opinion was concurred in by a consulting neurologist from a neighboring city, and a gloomy outlook was predicted. The patient's ears showed only the scarring of old middle ear disease, the drums were not inflamed, and there was no discharge nor history of recent infection.Some days later a bloody discharge from the left ear commenced. Insufficient thought was given to this development, so it was some time later before the diagnosis of brain abscess was considered. On June 26,
Whittlesey FR. OTOGENIC BRAIN ABSCESS. JAMA. 1946;131(5):481. doi:10.1001/jama.1946.02870220115023