A Manual of Otology

Cover A Manual of Otology
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Abscesses have become encapsulated and remained quiescent for years without giving rise to serious trouble, but such instances are extremely infrequent. Cases have been reported also in which abscesses in the tem- poro-sphenoidal lobe have drained through a carious opening in the tegmen tympani, and the pus has escaped through the external meatus. A cerebellar abscess has also been reported where the pus forced its way through 352 MANUAL OF OTOLOGY.
a carious opening in the sigmoid groove, the
...sinus having been destroyed. Occasionally, but very rarely, an ab- scess may drain in this way and be followed by recovery.
One should never for a moment anticipate such a re- sult, for the time to operate successfully is at an early date, before the patient has passed into a comatose con- dition.
It is frequently very difficult to make a differential diagnosis between cerebral abscess, sinus thrombosis, and meningitis, as at times one or more of these dis- eases may occur in the same case.
It is impossible to know the percentage of recoveries of brain abscesses, for, as a rule, all successful cases are reported, but the same cannot be said of unsuccessful ones.


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