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November 1962

Circumscribed, Benign Cerebral Thrombophlebitis

Arch Otolaryngol. 1962;76(5):398-400. doi:10.1001/archotol.1962.00740050410003

Two cases of circumscribed, benign cerebral thrombophlebitis of otitic origin are presented, with severe, alarming intracranial symptoms followed by quick and complete recovery. In this they differ from thrombophlebitis of the cranial sinuses which has become, under administration of antibiotics, very rare.

Fruhinsholz and Cornil (1929) were the first to observe this condition, ascribing transient aphasias and hemiplegias of pregnancy to circumscribed cerebral thrombophlebitis. Analogous cases outside the field of gynecology were presented by Symonds (193740), Martin and Sheehan (1941), Stanfield (1942), and Guillaume (1943). More penetrating clinical studies were added by Nielsen and Courville (1934-1937), Merwarth (1940), Perrier (1947), Garcin and Pestel (1945, 1946), Kendall (1948), Pozza (1951), Barnett and Hyland (1953), Stevens (1954), Vincent and Bourde (1955), and

Dalle Ore and DaBian (1959). The last publication was utilized in the following outline of this condition:

Etiology.—Cerebral thrombophlebitis occurs as a complication of infectious processes of the head