Annals of Medical Practice

Cover Annals of Medical Practice
Annals of Medical Practice
Cushing, Ernest Watson, 1847-1916
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Traumatism is also a most frequent cause; many times when apparently trifling it may lead to deep seated disease. The same pathologic conditions cause usually cerebellar abscess in children, while in adults the disease is generally in the cerebrum or extra-dural.
This condition is probably explained by the fact that the outer table of the bone in children is less dense, and this permits of an early rupture and spontaneous evacuation of the pus from what- ever infective source it may arise. Ther
...e seems at least to be no other explanation for the occurrence of abscess in this portion of the encephalon, in the five cases that had come imder Dr.
Hammond's observation; there had been during this same period three cases of cerebral abscess in adults from the same infective source. It is obvious, therefore, from the frequency of its occur- rence and its great fatality that a definite symptomatology should be recognized in order that early operative intervention may be instituted. The symptoms that have been so universally present are: discrepancy between the temperature and pulse, the former being often subnormal, while the latter ranges 120 to 160; flexion of the extremities; dilatation of the pupils; uncontrollable restless- ness, with a half unconscious condition; peculiar indisposition on the part of the patient to obey requests made; sugar in the urine; slow respirations; swinging of arms and inclining head toward one side, and absence of paralysis.


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