. The Journal of laryngology and otology. veral removed. February 7: Temperature i-ose to 1034^ F.; vomiting. February 8: The patient morose but mentally quite clear. The wound lookinghealthy and healing rapidly. He became rapidly worse at 2 on February 9, and died at ecember,i9i3.] Rhinology, and Otology. 625 The post-mortem examination showed that the patient had diedf acute meningitis, and that this was obviously due to infectionlirouirh a very small anatomical communication througrh the duralater near the inner border of the area of dura mater exposed at theime of
. The Journal of laryngology and otology. veral removed. February 7: Temperature i-ose to 1034^ F.; vomiting. February 8: The patient morose but mentally quite clear. The wound lookinghealthy and healing rapidly. He became rapidly worse at 2 on February 9, and died at ecember,i9i3.] Rhinology, and Otology. 625 The post-mortem examination showed that the patient had diedf acute meningitis, and that this was obviously due to infectionlirouirh a very small anatomical communication througrh the duralater near the inner border of the area of dura mater exposed at theime of the operation. This suggested that the patient must have haderebro-spinal rhinorrhcea. Inquiries from his brother seemed toontirm this view, as he stated that the patient had recurring head-ches from boyhood, that from the age of sixteen he used to sufferrem peculiar colds with dripping of clear water lasting for he had had cerebro-spinal rhinorrhcea, then havingeveloped antral suppuration with subsequent formation of nasal. Fig. 2.—1, corresponds to ostium in the duiu luater; 2, corresponds to duramater exposed by disease. olypus and also frontal sinus suppui-ation, the escape of cerebro-pinal fluid from the ostium in the dura mater down the nasalassacre became obstructed by the growing nasal polypus. Con-?quentlyit formed an external swelling with bulbar displacement,nd every now and again the collection of cerebro-spinal fluidrupted itself through the nose. The misfortune of such a condition occurring in association withontal sinus suppuration must be exceedingly rare, but infectionTrough the open portal leading directly to the subarachnoid spaceas inevitable, and I regret very nmcli that the possibility of theatient having cerebro-spinal rhinorrhoea had not occurred to me,^d, therefore, that no means were taken to examine the escapingaid with that in view. 626 The Journal of Laryngology, [December, 1913. TOXIC EXHAUSTIVE INSANITY ASSOCIATED WITH CHRONICSUPPU
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Keywords: ., bo, bookcentury1800, booksubjectear, booksubjectnose, bookyear1887
