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February 1940


Arch Otolaryngol. 1940;31(2):380-385. doi:10.1001/archotol.1940.00660010382014

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Pathologic Changes of the Inner Ear in a Case of Deafness from Epidemic Cerebrospinal Meningitis. Presented by Dr. Elmer W. Hagens.  A fatal case of epidemic cerebrospinal meningitis is reported, in which deafness occurred forty-six days before death. The temporal bones were obtained, and microscopic examination of the labyrinths was made. The observations support the reports in the European literature of severe, bilateral destructive labyrinthitis, with tendency toward healing in the form of granulation tissue and bone. The end organs were practically destroyed and demonstrated why permanent total or nearly total loss of cochlear and vestibular function occurs.Five weeks prior to admission to the hospital, the history stated, in a 3 year old boy high temperature, projectile vomiting and coma lasting about one week developed. On recovery it was noted that he could not hear. About eight days before admission high temperature again developed. At the hospital it was

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