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July 1934

PRIMARY EPENDYMITIS: SUBACUTE TYPE WITH OCCLUSION OF THE FORAMINA OF MONRO AND HYDROCEPHALUS OF THE LATERAL VENTRICLES

Author Affiliations

BALTIMORE

From the Departments of Neuro-Surgery and Pathology, School of Medicine, University of Maryland.

Arch NeurPsych. 1934;32(1):143-153. doi:10.1001/archneurpsyc.1934.02250070149008
Abstract

Ependymitis occurs in a rare primary form in which the ependyma, subependyma and choroid plexus alone are affected and as a frequent secondary form in which these structures are involved following meningeal infections or rupture of an abscess of the brain into the ventricular system. Primary ependymitis is of unusual interest to the neurologist, the surgeon and the pathologist because of difficulty of diagnosis, the similarity to cerebral neoplasm and the unique selective inflammatory changes affecting the entire ventricular ependyma. The purpose of this article is to report an example of primary subacute ependymitis and to review briefly the literature.

REPORT OF A CASE 

History.  —W. G., a white man, aged 32, married, a welder, was admitted to the medical service of Dr. Harry M. Stein, University Hospital, on Sept. 29, 1932, with the complaint of frontal headache and increased libido. At the age of 10 he had fallen into

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