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Article
October 1926

ABSCESSES AND INFLAMMATORY TUMORS IN THE SPINAL EPIDURAL SPACE (SO-CALLED PACHYMENINGITIS EXTERNA)

Author Affiliations

BALTIMORE
From the Department of Surgery, the Johns Hopkins University Medical Department and Hospital.

Arch Surg. 1926;13(4):477-494. doi:10.1001/archsurg.1926.01130100021002
Abstract

Two recent cases of inflammatory tumors in the spinal epidural space presented a picture then unknown to us from a series of spinal cord tumors. In one of the cases the lesion, a tubercle, developed so rapidly as to suggest an extradural abscess; the other, of several months' duration, was looked on as a tumor, despite the high cell count, until the presumed level of the growth was carefully marked out preparatory to operation. When the predicted level of the tumor was found to be identical with an old scar over the spine of a dorsal vertebra, the diagnosis of some inflammatory lesion affecting the cord, though of ill-defined character, appeared to be a probability. When the history had been taken, the patient expressed the belief that his trouble dated from a severe carbuncle of which this directing scar was the result. About the same time my associate, Dr. Frank

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