REPORT OF CASE
F. W., a girl, aged 2½ years, was admitted to the Harriet Lane Home of the Johns Hopkins Hospital on June 6, 1921, suffering from cerebrospinal meningitis of two days' duration. Meningococci were present in smears and cultures of the spinal fluid. Between June 6 and June 28, lumbar puncture was performed seventeen times, and fourteen injections of antimeningococcus serum were given intraspinally. All the spinal punctures were done in the fourth lumbar interspace except one or two, which were in the third interspace. No difficulty was ever experienced in performing the punctures and a "bloody tap" was never obtained. During the first ten days of the disease, the child was unable to void and the bladder frequently extended to the umbilicus, necessitating manual expression. After the tenth day, however, the bladder was never distended and the child voided in her bed. The bowels moved only with
WILKINS L. AN UNUSUAL SEQUEL OF MENINGITIS: LESION OF THE CONUS MEDULLARIS. Am J Dis Child. 1925;29(1):67–69. doi:10.1001/archpedi.1925.04120250070006
Browse and subscribe to JAMA Network podcasts!
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: