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Article
May 1940

SIGNIFICANCE OF APHASIA AS A SYMPTOM OF OTOGENIC EXTRADURAL ABSCESS

Arch Otolaryngol. 1940;31(5):819-826. doi:10.1001/archotol.1940.00660010833004
Abstract

Aphasia is said to be the most frequent symptom of abscess of the left temporal lobe. Aphasia itself, however, cannot be regarded as definite proof of the presence of an abscess of the temporal lobe even though an acute or chronic suppuration of the middle ear is present. It suggests simply damage in the region of the first temporal convolution, which also can be caused by intracranial processes of other kinds, such as otogenic extradural and subdural abscesses, localized meningitis with formation of large plaques and tumors, meningiomas and, particularly in children, solitary tuberculomas of the temporal lobe.

From the clinical viewpoint the differentiation of abscess of the temporal lobe from extradural abscess is important. As a rule the following problem is faced: In the presence of aphasia associated with otitis media, the ear has been operated on and an extradural abscess of the middle fossa discovered. The question to

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