Organic and functional nervous diseases; a text-book of neurology . all of the sinus. The wall isslightly roughened. If time has permitted, the clot may become hardor even organized. If septic it is foul in odor, broken down, yellowish-green, and purulent, and the adjacent wall is covered with pus. Thusin a patient, operated upon for me by Abbe, with lateral sinus throm-bosis secondary to ear disease, a purulent, fetid, green mass occupiedthe sinus near the ear, a long clot was extracted from the posteriorpart of the sinus, another was pulled up from out of the jugular vein,in which a hard thr
Organic and functional nervous diseases; a text-book of neurology . all of the sinus. The wall isslightly roughened. If time has permitted, the clot may become hardor even organized. If septic it is foul in odor, broken down, yellowish-green, and purulent, and the adjacent wall is covered with pus. Thusin a patient, operated upon for me by Abbe, with lateral sinus throm-bosis secondary to ear disease, a purulent, fetid, green mass occupiedthe sinus near the ear, a long clot was extracted from the posteriorpart of the sinus, another was pulled up from out of the jugular vein,in which a hard thrombus had formed which could be felt in the neck;the wall near the purulent mass was rough, softened, evidently infil-trated with pus. In this case the jugular was tied before the sinus wasopened. The patient recovered. ^Journal of the American Medical Association, 1902, p. 568 THROMBOSIS OF THE VENOUS SINUSES. In patients who die a congestion of the brain is found in the areawhose blood empties into the sinus that is the site of thrombosis, and Fig. an acute hemorrhagic softening with infarction has been found. Inthese cases also multiple septic emboli are found in other organs. TkEATMEnf. 569 Symptoms. — Thrombosis of the longitudinal sinus is extremelyrare and occurs chiefly as the result of septic pachymeningitis or incases of marasmus. In both conditions its occurrence is rarely diag-nosticated, the only symptom indicative of it being a marked venousstasis in the scalp. When this is present the veins of the entire craniumare distended, including those of the orbit and eye. In a case ofOppenheims, due to chlorosis, choked disk was seen in both has been observed, and bulging of the fontanelle in infants. Thrombosis of the lateral sinus is a frequent complication of otitismedia, and its diagnosis rests partly on the prior existence of this dis-ease with its symptoms of earache, purulent discharge, headache, andgeneral malaise. It causes a venou
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