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November 1941


Author Affiliations


Arch Otolaryngol. 1941;34(5):920-935. doi:10.1001/archotol.1941.00660040994004

Since Symonds' publications in 19271 and 1931,2 the name "otitic hydrocephalus" has been accepted for a group of cases which present the following clinical syndrome: After an infectious disease of the ear, mastoid process or petrous bone, the patient complains of attacks of severe headache. In the interval between headaches, he looks and feels well. Examination of the cerebrospinal fluid reveals a constant elevation of pressure, often above 300 mm. of water. There are no cells or excess of proteins in the fluid. Papilledema is always present, and the swelling is usually measurable. There are often signs such as paralysis of the sixth nerve on the side of the lesion, unilateral or bilateral convulsive seizures, the Babinski sign on one or both sides and, in cases in which the posterior fossa is involved, nystagmus, vertigo, adiadokokinesis and deviation of the protruding tongue. The patients are almost always children or young

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