. The pathological anatomy of the ear . h, fiir Phys. Heil-kunde, ix., 1868. AVreden, Petersb. Med. Zeitschr., xvi., 5, S. , Arch, filr Heilkunde ron Wagner, xi., S. 562. 1 Kimmel, Observatio Anat. Patholog. de Cnnali Carotico Carie Syphi-litica Exeso, Lipsiae, 1805, witb an illustration. Boinet, Arch, de Med.,1837. Lavacherie, Bulletin de IAcad, de Med., 1848, vol. vii., p. 789. San- 16 PATHOLOGY OF THE EAR. media, of the large venous sinuses or of the bulbusvenae jugularis. By which channels the extension of the purulentinflammation takes place frequently remains uncertainat the
. The pathological anatomy of the ear . h, fiir Phys. Heil-kunde, ix., 1868. AVreden, Petersb. Med. Zeitschr., xvi., 5, S. , Arch, filr Heilkunde ron Wagner, xi., S. 562. 1 Kimmel, Observatio Anat. Patholog. de Cnnali Carotico Carie Syphi-litica Exeso, Lipsiae, 1805, witb an illustration. Boinet, Arch, de Med.,1837. Lavacherie, Bulletin de IAcad, de Med., 1848, vol. vii., p. 789. San- 16 PATHOLOGY OF THE EAR. media, of the large venous sinuses or of the bulbusvenae jugularis. By which channels the extension of the purulentinflammation takes place frequently remains uncertainat the autopsy; in many cases it probably takes placealong the course of the veins (aqua^cluctus vestibuliand cochleae), along the folds of the dura mater which_ extend into the fissura p e t r o s o - s q u amosa,along the neurilemmaof the acusticus or fa-cialis, and also alongthe connective tissueof the capillary blood-vessels which perfor-ate the bone in alldirections (tegmentympani, hiatus sub-arcuatus). Sometimes deathresults from severe. where it is impossible Fig. 5. Caries of tlie Sulcus Transversus produced by b r a i U S y Ul p t O Ul Sa very extensive caries of the mastoid sinus transversus was very much thinned,but without ulceration. (From Toynbee, Dis- tO fiud any tiling UlOreeases of the Ear, p. 327.) ,i i • i • ,i pathological in thebrain than oedema, the causal connection of whichwith the ear-disease is perhaps very improbable. tesson, Htjgiea, Bd. xiv., 1855. Cliassaignac, Trnite de la Suppuration,vol. i., p. 529. Gaz. des Hop., 1857, p. 226. Marc See, Bullet, de laSoc. Anal, de Paris, 1858, p. 6. Toynbee, Transactions, xliii.,p. 217 to 224, 1861. Baizeau, Gaz. des Hop., 1861, p. 350. TodllicheOhrhlulung hei Sypliil. Caries, Deutsche Klinik, 1863, No. 23. Boeke,Pestli. Med. Chirwg. Presse, x., 28. A. Hermann, Wien. Med. Woclien-schrift, xvii., 30-32. Pilz (Billroth), Diss. Iiuiitg., Berlin, 1865. Broea,Gaz. des Hop., 1866, No. 53, p. 240.
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