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August 4, 1900


JAMA. 1900;XXXV(5):303. doi:10.1001/jama.1900.02460310037011

Recovery from tuberculous meningitis has been recorded quite a number of times. In the older cases of this kind bacteriologic confirmation of the diagnosis is lacking, but in many the clinical course of the disease and the name of reporter offer a certain guarantee of its correctness. In some cases subsequent autopsy disclosing calcified tubercles in the spinal and cerebral leptomeninx has placed the diagnosis beyond doubt. Freyhan, and recently, Henkel1 have recorded cases of recovery from clinically typical tuberculous cerebrospinal meningitis in which the diagnosis was clinched by the demonstration of tubercle bacilli in the cerebrospinal fluid obtained through lumbar puncture. In Henkel's case, a 10-year-old boy, there was optic neuritis and paresis of the ocular muscles. The disease presented more or less typical and active symptoms for about two weeks, when a gradual improvement began, some fever persisting for several weeks. The first attempts to walk

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