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June 1924


Author Affiliations

Director, Neuropsychiatric Department; Assistant Neuropathologist Philadelphia General Hospital, Philadelphia

From the Neuropsychiatric Department (Service of Dr. M. H. Bochroch), and Neuropathological Laboratory, Philadelphia General Hospital.

Arch NeurPsych. 1924;11(6):707-710. doi:10.1001/archneurpsyc.1924.02190360095008

The following case is reported because of several points of interest. In the first place, there is an association of an apparent psychoneurotic reaction with active tuberculous infection of the nervous system; secondly, the disease ran a rapid course, the symptoms being ameliorated by cistern dramage; and thirdly, a focus of possible origin was found in the middle ear and mastoid.

REPORT OF CASE  The patient, a white woman, aged 36 years, twice married, whose family history is unimportant, was admitted Feb. 27, 1922. The past history disclosed scarlet fever at the age of 10 accompanied by "brain fever" (delirium?) and followed by "running ears." Her first husband died of tuberculosis. The second marriage was contracted a few days prior to admission. Her family considered that she was neurotic and always exaggerated minor physical ailments. The present illness began Feb. 15, 1922, with intense headache. There followed diplopia, and mental

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