OCCULT THROMBOSIS OF SIGMOID AND LATERAL SINUSES: An Unusual Case

Abstract

The case to be presented is instructive from the standpoint of diagnosis, operative findings and therapy. REPORT OF CASE On April 27, 1943, while swimming, the patient, a 25 year old white soldier, was kicked in the right ear. That night pain in the ear and some loss of hearing developed. The past history was entirely noncontributory; he had never had trouble with his ears before. The patient was in excellent health. The general physical examination gave entirely normal results. Locally a purulent discharge from the right ear and mild rhinitis were noted. He was given ten 1 Gm. tablets of sulfadiazine and told to take four tablets a day, spacing them at four intervals, until they were gone. The next day there was less discharge, and two days later the ear was dry. During the next ten days he was seen in the outpatient clinic every other day because