Three cases of cerebral abscess consequent upon suppurative disease of the middle ear, with remarks / by Thomas Barr.

Barr, Thomas, 1846-1916

Date:: [1880]

Credit: Three cases of cerebral abscess consequent upon suppurative disease of the middle ear, with remarks / by Thomas Barr. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

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$observed in intra-cranial abscess. In all my cases death took place by coma. In the first, an epileptiform convulsion ended Iit'e after two weeks of great excitement. In the other two, where the constitutional condition was not so good, tlie cerebral symptoms were more those of depression. The drowsiness and stupor were marked, and, instead of distinct convulsive attacks, there were general tremors, more like shiverincr alono- with coma. In the third, the frequent repetition °of this comatose condition, with intervals of consciousness, was a noteworthy feature. Paralytic phenomena were observed in one only. It was hemiplegia, and followed the aphasia and the comatose seizure. The convulsions of cerebral abscess have been observed to be much more inclined to be local tnan to be general. The duration of the acute cerebral disease was, respectivelv eleven thirteen and twenty-one days. Lebert's cases ranged from two to three weeks. The ages of my patients were 12, 14 and 17 years The half of Lebert's cases were between .r.r rf r^'' ^^.^^t- ^^'^^'-^^ abscess predominates in earlier life, the period when suppurative ear diseases are much more frequently met with. It is also noteworthy that twice as many cases occur in males as in females rlpJlJ^^ ''P'n v° condition of the parts found after death, you will have noticed that in one case only were there canous openings between the pus secreting cavities of ituaSin for! t'' m^ost common situation for caries in such cases is the roof of the middle -^^'^ ^^J ^^'^^^id process. My Scond case had carious openings in these two^ situations.^ It has }h7TZ'^T ^«tabli«l^ed by numerous observation Tn the dead body, that suppurative diseases of the ear may brina about a fatal issue, without a carious afl^-ection. The diseasf fTLitTn^^tto^ .t'' ^^^^ the numru loramina m the bone, for the passage of vessels nervp^ and connective tissue; or, if by destruction of the two prin-ary condition. It tX'::L:£:,\T\Xl$

Three cases of cerebral abscess consequent upon suppurative disease of the middle ear, with remarks / by Thomas Barr.

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