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January 23, 1926


JAMA. 1926;86(4):268-269. doi:10.1001/jama.1926.26720300001011

A man, aged 26, whom I saw, May 10, 1925, gave the following history relative to his ear and brain complication:

Eight weeks prior to this time he complained of an acute sore throat followed by severe pain in the left ear. Twenty-four hours later the drum ruptured spontaneously, and a continuous pus discharge followed, without mastoid tenderness at any time. The patient continued about his work as usual.

However, there occurred, six weeks after the onset and two weeks before I saw him, a sudden significant attack of severe pain over the left side of the head, accompanied by nausea and vomiting. After thirty-six hours, these symptoms subsided and the patient felt well, played golf and did his work as usual, until four days before I saw him, when he again developed a severe pain over the left occipital region, accompanied by marked nausea, vomiting and dizziness.

When I

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