I saw these two cases with Dr. William Sharpe at the New York Polyclinic Hospital. Both were cases of skull fracture involving the base, with a secondary mastoiditis and meningitis, and in one case a brain abscess.
REPORT OF CASES
—A man, aged 43, white, cab driver, with negative family and past history, fell from the seat of a hansom cab, Oct. 31, 1917, and was picked up unconscious, bleeding from both ears.
—He was well developed and well nourished, and was plethoric. He was still unconscious and bleeding from both ears. The blood was mixed with cerebrospinal fluid. He was in a state of shock, and spinal puncture revealed blood under marked pressure. The reflexes were exaggerated, especially on the left side. The Babinski reflex was present in the left foot. There were no convulsions and no twitchings. Ophthalmoscopic examination revealed marked edematous changes,
Smith JM. TWO CASES OF SKULL FRACTURE WITH SECONDARY MASTOIDITIS AND MENINGITIS, AND IN ONE CASE BRAIN ABSCESS. JAMA. 1919;72(14):995. doi:10.1001/jama.1919.26110140003011b
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