Three cases of cerebral abscess consequent upon suppurative disease of the middle ear, with remarks / by Thomas Barr.
- Barr, Thomas, 1846-1916
- Date:
- [1880]
Licence: Public Domain Mark
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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![tion that one of these cases—the first one—has already been reported by me in detail, in the Glasgow Medical Journal of May, 1878, but for purposes of comparison I have summarised it m my paper to-night. Case I.—S S, a sti-ong, healthy boy, 14 years of age, suffered lor ten years from a running ear on the left side, originatino- m measles. On Monday, 31st December, 1877, he was seized with severe pain in the ear and side of the head, after a slap with the open hand from his master. The pain was soon toilowed by severe and persistent vomiting, and by consider- able feverishness. These symptoms continued, the pain in the S -n ^^ead ^eing very intense, until the eleventh day ot his illness, when he became comatose, and his arms and hands remained in a state of spasmodic contraction. Death iollowed two hours afterwards. Post-mortevi examination revealed a large abscess, havino- a very fetid odour, in the left temporal lobe of the brain, the portion lying over the roof of the tympanum. The dura rn^tei over the tegmen tyr>ipani^K^ softened and thickened but there was no opening in the bone communicating with mrf r?rT' /'-'^^'^^■^ found in any found to ll /T'' ^''^•m ^^^ tympanic membrane wa^ iound to be destroyed, while a soft polypous growth and 0?Xfv''' tissue occupied the gre'ate^part ff tl cav^ of the tympanum. The malleus and incus lay loose in the upper part of the cavity, embedded in a brownish semi-fluid substaTe which emitted a most fetid odour. The stapes could not be rlio^'^^-!- ^^'T'^- ^ 1^ years of age, of a very livelv Sr^at r I'^^'^'^r^'^ defective bearing in the lef^ car at the age of eleven years. This continued, sometimes mn Ts Therrw:sT ^^^^ bef^rX'S pain fhnn t J^^-\^ischarge was occasionally attended with ha ] ; ^^°g^at no time of a severe character, and generally had a very offensive odour. He had usually a fresh compSn ^ ^^«^^I^«^.lthy child; but two brotheS had S of tubercular meningitis. Two months previous to his death he pent his holidays at Millport, whenfas his father e^ressed S tlie Lwrr It' 1- excelled lis comS PouS into ?br^ r.? ear began, certain lotions were water. NrauraU^piH^ syringing with warm i^o aural speciahst was, however, consulted.](https://iiif.wellcomecollection.org/image/b21457529_0005.jp2/full/800%2C/0/default.jpg)


