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August 22, 1908


JAMA. 1908;LI(8):667-668. doi:10.1001/jama.1908.25410080033002g

History.  —A local physician told me incidentally that he was treating a girl about 12 years old whose ears had been discharging since soon after birth, and that a few days since chills had set in and the child was very sick. I told him that the child in all probability had a thrombosis of the lateral sinus and that its condition was a very critical one. The doctor succeeded in sending the patient to Grace Hospital the next day.

Examination.  —I saw the girl for the first time Sunday, January 19 at 4 p. m. The temperature was 103.2 F., pulse 144, respiration 28; the mother reported a chill at noon and one during the night.

Operation.  —I operated immediately, performing a radical operation on the left side and exposing the lateral sinus freely. I removed the thrombus, reaching almost to the jugular bulb, until free hemorrhage occurred from

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