DURING 1964 there appeared numerous interesting articles. One case described under the heading of lateral sinus thrombosis might well be called the unusual case of the year and will be reviewed first.
Lateral Sinus Thrombosis
The "unusual case of the year" was reported at a clinical pathological conference at the Children's Hospital, Boston.1 A Negro girl 14 months old was admitted in semicoma and died 45 minutes later. She was thought to be well until a week before when she was given benzathine penicillin G (Bicillin) for a draining left ear. She seemed well and was not taken back for her follow-up appointment. Autopsy showed a massive pulmonary thromboembolism that occluded both pulmonary arteries. The right drum, middle ear, and mastoid were normal, but there was an old, firmly adherent, nonocclusive mural thrombus in the lateral sinus. The left middle ear was filled with reddish granulations, and there was