Despite the effort of distinguished surgeons in many quarters, surgical treatment of otitic leptomeningitis yields but meager results. Several commendable clinical and pathologic studies 1 have appeared in recent otologic literature to demonstrate clinical variations, prodromal symptoms, mechanism of meningeal contamination from petrous disease, manifestations of otitic leptomeningitis and suggested surgical relief. With the basic knowledge supplied by these studies, the alert otologist will recognize early symptoms and occasionally save a patient from this costly complication of otitis media.
As there is no rational generally accepted plan of surgical treatment which can be depended on to save even a fair percentage of these patients, it is important that those dealing with this problem pool the results of their studies until prodromal symptoms may be more quickly and accurately recognized and specific clinical and surgical measures applied specifically to early contamination of the meninges before the basal cisterns are
LAWSON LJ. THE PROBLEM OF MENINGEAL INFECTION FROM PETROSITIS: REPORT OF CASES. Arch Otolaryngol. 1933;17(5):640–648. doi:10.1001/archotol.1933.03570050631003
Monkeypox Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.