An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . rise. Brain-abscess depends, inmost cases, upon aural suppura-tion, and subdural abscess andseptic thrombosis are still morefrequent in children (Fig. 7).Suppuration in the labyrinth gainsready access to the intracranialcavity through the internal audi-tory canal, and the basilar men-ingitis resulting is usually is noteworthy, for the l
An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . rise. Brain-abscess depends, inmost cases, upon aural suppura-tion, and subdural abscess andseptic thrombosis are still morefrequent in children (Fig. 7).Suppuration in the labyrinth gainsready access to the intracranialcavity through the internal audi-tory canal, and the basilar men-ingitis resulting is usually is noteworthy, for the lep-tomeningitis due to caries or ne-crosis of the temporal bone isoften salutary, and builds a de-fence against serious invasion forthe more important structures.(See Figs. 8 and 9). Necrosis may lead to exfolia-tion of large portions of the tem-poral bone, including the laby-rinth and facial canal; yet thecranial contents may escape un-harmed, in spite of loss of muchof the meningeal surface of thebone, and the facial nerve may reorganize. Facial paralysis is not rarely met,for the facial canal is frequently incompletely bony, and is always vulnerableas it passes above the oval window. Bells palsy in children is usually a partFig. 8. Fig. Portion of Base of Skull of Child of Three Years, showingcarious defect in the roof of left tympanum and theoverlying dura. Death resulted from a large brain-abscess communicating with the suppurating tym-panum.
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Keywords: ., bookcentury1900, bookdecade1900, booksubject, booksubjectchildren
