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October 1938


Author Affiliations

From the Otolaryngologic Service of the Hospital of the Protestant Episcopal Church and the Otorhinologic Service of Dr. George M. Coates, the Graduate School of Medicine and the Graduate Hospital of the University of Pennsylvania.

Arch Otolaryngol. 1938;28(4):621-625. doi:10.1001/archotol.1938.00650040632011

The wide variation of symptoms of abscess of the frontal lobe is well recognized. O. Jason Dixon,1 described the "thoroughness of the brain in concealing an abscess within itself"; Dan McKenzie2 called attention to the frequently latent signs of abscess in the "silent" frontal area of the brain and to the fact that a usual event is for the abscess to be discovered accidentally at operation or at autopsy.

Infection and trauma have been well recognized as definite etiologic factors by such authoritative otorhinologists as Eagleton,3 Myers4 and Skillern and Coates.5

The specific symptoms and signs to look for, recently recalled by William Gordon,6 are: (a) initial vague chill, (b) headache, (c) vomiting, (d) general malaise, (e) slow pulse, (f) subnormal temperature, (g) papilledema, (h) abnormalities of the cerebrospinal fluid, (i) convulsions and (j) coma. In addition, as reported by Dan McKenzie,2 symptoms of slow cerebration, loss of memory and

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