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Case Reports
January 1932


Author Affiliations

Attending Pediatrician, Coney Island Hospital; Attending Surgeon, Coney Island Hospital BROOKLYN

Am J Dis Child. 1932;43(1):147-150. doi:10.1001/archpedi.1932.01950010154015

Abscess of the cerebellum is a sequel of chronic suppuration of the ear in 80 per cent of the recorded cases, but rarely of acute suppuration. The route of transmission of the infection is either through the labyrinth or by the way of the sigmoid sinus. The symptoms and signs are those of abscess of the brain, pain, headache, vomiting, fever, slow pulse, prostration, choked disk and yawning. In addition to these, there are the focal symptoms and signs, nystagmus, vertigo, disturbances of equilibrium, loss of the sense of position, past pointing, adiadokokinesis and speech disturbances.

Eagleton reported 50 per cent recovery in a series of these cases. Ten per cent recovery has been the general experience.

We consider the case to be described of interest because of the indefinite picture presented at the time of admission, the differential diagnostic discussions, the ultimate decision in favor of cerebellar abscess with

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