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January 1947

SUPERIOR PETROSAL AND CAVERNOUS SINUS THROMBOSIS AND BASAL PETROSITIS: Observed as Complication of Destructive Labyrinthitis With Facial Paralysis

Author Affiliations

From the Otolaryngological Service of the Massachusetts Eye and Ear Infirmary.

Arch Otolaryngol. 1947;45(1):90-104. doi:10.1001/archotol.1947.00690010097008

THE following history describes one of the most interesting otologic cases I have ever encountered at the Massachusetts Eye and Ear Infirmary during nearly two decades of service. The facts presented may provide objective experience for other otologists faced with similar difficult decisions.

The hospitalization period can be divided into four parts: (a) management of paralysis of the left side of the face complicating an acute exacerbation of chronic suppurative otitis media on the left side with mastoiditis and destructive labyrinthitis; (b) management of superior petrosal and cavernous sinus thrombophlebitis and supracochlear basal petrositis complicating the destructive labyrinthitis; (c) management of meningitis complicating conditions in b, and (d) convalescence.

In time, the first period approximated three weeks, the second about six weeks and the third and fourth about twelve weeks.

REPORT OF A CASE  On Oct. 22, 1943 a 12 year old white Brazilian boy was admitted to the Massachusetts