Abstract

DRAINAGE OF CISTERNA PONTIS LATERALIS IN MENINGITIS (CASE II). DR. ALFRED LEWY. A month ago, I presented a case of purulent meningitis with recovery. In this case, the outcome was not so fortunate. The patient was a woman, aged 29. Both ears had discharged since childhood. In October, 1927, she complained of vertigo, ataxia and vomiting. A mastoid operation was performed, followed by relief of symptoms. Six weeks before I saw her, she had left facial paralysis. She then spent ten days in another city where she was delirious and under the influence of morphine. When I saw her, wild delirium, stiff neck, positive Kernig sign, fever, purulent discharge from the left ear, a mastoid scar with two fistulas, left facial paralysis and total deafness in the left ear were present; she could hear conversation at a distance of 3 feet with the right ear. The spinal fluid was turbid

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