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September 1936

OTITIC MENINGITIS: Report of a Case in Which Treatment with Continuous Spinal Drainage Was Used

Author Affiliations

From the otolaryngologic service of Dr. I. M. Heller, Lebanon Hospital.

Arch Otolaryngol. 1936;24(3):340-342. doi:10.1001/archotol.1936.00640050350009

So uniformly fatal is septic meningitis of otitic origin that any contribution to the armamentarium of treatment should be welcomed even though it may furnish only a clue to a possible method of successful treatment.

The principle of drainage in the management of septic meningitis has been invoked since Victor Horsley in 1890 performed laminectomy for that disease. Subsequently other methods of drainage, surgical as well as conservative, have been attempted, attacking the spinal subarachnoid space as well as the cranium. Some instances of cure by these methods have been reported; however, since spontaneous recoveries also occur, it is difficult to place much credence in any method which offers only an occasional cure.

On the other hand, drainage by whatever method does offer valuable relief from symptoms of intracranial pressure. Thus, patients in convulsions or coma or those suffering from severe headache and irritability are much relieved by simple lumbar

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