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July 20, 1912


Author Affiliations

Professor of Diseases of the Mind and Nervous System at the Philadelphia Polyclinic and College for Graduates in Medicine; Neurologist to the Howard Hospital; Visiting Physician to the Philadelphia Home for Incurables PHILADELPHIA

From the Howard Hospital, the Children's Hospital and the Department of Neurology and the Laboratory of Neuropathology of the University of Pennsylvania.

JAMA. 1912;LIX(3):165-170. doi:10.1001/jama.1912.04270070166003

I recently had the opportunity of examining histologically nine cases of meningitis, seven (Cases 1, 2, 3, 4, 5, 6 and 7) of which had been diagnosed clinically and pathologically as tuberculous meningitis. Case 8 had been diagnosed as one of tuberculous meningitis from which the patient recovered only to succumb a month later to an attack of pneumonia.

The findings are interesting as showing the histologic features in a recovered case of meningitis.

Case 9 was diagnosed clinically and pathologically as pneumococcus meningitis and is of interest in comparison with the findings in the tuberculous cases.

As far as possible the material was taken from those regions of the cortex where the tubercles were not found. While all the sections were stained for the tubercle bacillus, none was discovered in any case after careful search. It should be mentioned that some of the specimens were hardened in Kaiserling, which