March 14, 1903


Author Affiliations

Lecturer on Nervous Diseases, Medical College of Ohio, University of Cincinnati; Professor of Nervous Diseases, Clinical School, City Hospital, Medical Department, University of Cincinnati; Neurologist to City Hospital. CINCINNATI, OHIO.

JAMA. 1903;XL(11):702-708. doi:10.1001/jama.1903.92490110018001d

We encounter difficulty in diagnosing brain abscesses in two ways: First, in determining whether or not an abscess is present, and in the second place, in locating it. These difficulties are entirely out of proportion to the difficulty found in diagnosing other brain lesions, say, for instance, tumors and cysts. In the former condition the symptoms are not only frequently obscure and indefinite, but for a considerable period may be absent altogether; the abscess may be in a latent state. In tumors and cysts time is not of such very great importance, a few days or a few weeks may elapse and the diagnostic points may be allowed to develop themselves, without there being any added perils to the patient. In abscess, however, time is of great importance, a few days, even twenty-four hours, may determine whether or not the individual's life can be saved. It is in the

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