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Of the various diseases of the apex of the petrous pyramid, those which extend from suppurative processes of the middle ear are by far the most frequent and the most important. A practical knowledge of the other diseases and disease processes is necessary, however, in order to understand better conditions in the apex of otogenic origin. Among these are the invasive processes from tumor of the gasserian ganglion and the auditory nerve. Tuberculosis of the petrous apex is still less frequent. In the clinics I recently have had opportunity to observe a case of tuberculosis, which will be described in detail in this paper. I feel that it is of interest, first, because of the rarity of the condition and, second, because it demonstrates the extension of a disease process through the petrous bone to the petrous apex.
REPORT OF CASE
The patient was a landlord, 37 years of age.