[Skip to Content]
[Skip to Content Landing]
Article
April 5, 1919

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
Abstract

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 

Case 1.—History.  —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.

Physical Examination.  —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,

First Page Preview View Large
First page PDF preview
First page PDF preview
×