A System of Medicine volume 7

Cover A System of Medicine volume 7
A System of Medicine volume 7
T Clifford Thomas Clifford Allbutt
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Softening. Necrotic softening of the cerebellum from vascular occlusion, embolic or thrombotic, is rare. Even if a cerebellar vessel does become occluded the softening is comparatively limited, owing to the rich anastomosis between the cerebellar vessels. Softening is most common in the regions supplied by the posterior cerebellar artery, often secondary to occlusion of the vertebral, but sometimes originating in the 362 SYSTEM OF MEDICINE posterior cerebellar, and extending downwards into the
...vertebral artery, as in a case reported by Menzies.
Abscess. Abscess frequently occurs in the cerebellum, and, for the most part, in connection with disease of the middle ear. Winter and Deanesly collected 23 cases of cerebellar abscess, and found purulent otitis media in all. In 19, which I have myself analysed, there was middle ear disease in 16. In all these the abscess was situated in the hemispheres. In Winter and Deanesly's collection the abscess was situated in the anterior part of the lateral lobe in 21 ; in the inferior surface of the middle lobe in 1 ; and in the flocculus in 1.


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