XXXVI. Some Conditions Associated with the Loss of Cerebrospinal Fluid
1913; SAGE Publishing; Volume: 22; Issue: 3 Linguagem: Inglês
10.1177/000348941302200302
ISSN1943-572X
Autores Tópico(s)Head and Neck Surgical Oncology
ResumoI wish to relate to this society the following cases, during observation upon which, either before or after operation, there appeared an escape of cerebrospinal fluid, and to draw some conclusions from them.Case I.-Mrs.Lizzie A., aged fifty-two years, Jackson, Michigan.Patient presented herself on account of a suppurative otitis media on the left side, with dizziness.During childhood she had had scarlet fever, since which time the ear has discharged at intervals.Four years ago she had a mastoid operation in San Francisco.The ear and mastoid healed after about one year's postoperative treatment.Patient remained well for some months, following which occasional suppuration has been noted.About three weeks ago swelling appeared over mastoid.Since this time she has been dizzy, staggers to the tight, and has been frequently nauseated.Examination of the left ear showed great destruction of the tympanic.membrane; tympanum contained small quantity of somewhat foul smelling, purulent discharge.Easily bleeding granulation tissue noted around the oval window.Mastoid scar infected; red and swollen.Hearing test.v-Conversationalvoice, not heard.Weber to the right.Rinne negative.Schwabach heard in the right ear.C-l not heard.C-4 not heard.Nystagmus of one degree to both sides.Turning test.-Turning to the right, after-nystagmus of fifteen seconds.Turning to the left, after-nystagmus of fifteen seconds.Caloric test, negative.Fistula test, negative.
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