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April 1935


Author Affiliations

Consulting Otologist, Municipal Contagious Disease Hospital CHICAGO
From the Municipal Contagious Disease Hospital.

Arch Otolaryngol. 1935;21(4):406-413. doi:10.1001/archotol.1935.00640020418002

The unusual opportunity recently occurred to observe the complete course of a cerebellar abscess in a hospitalized patient from the onset of otitis media, which caused the abscess, to recovery following drainage. The clinical history of this case is reported because it is highly instructive in its bearing on the treatment of the condition.

According to Eagleton,1 the average mortality from abscess of the brain is still high, 75 per cent or more. The statistics of Coleman,2 however, who obtained nineteen recoveries in twenty-eight cases (a mortality of only 31 per cent), suggests that the average number of deaths is unnecessarily high. Faunce and Shambaugh3 more recently reported six consecutive cases with only one death.

The usual high mortality from abscess of the brain is in part due to failure to make a timely diagnosis. Eagleton1 emphasized that the literature is filled with reports of