MASTOIDITIS, MENINGITIS AND ABSCESS OF THE TEMPOROSPHENOIDAL LOBE

A case of mastoiditis, meningitis and abscess of the temporosphenoidal lobe is presented specifically to illustrate (1) the masking effects of the sulfonamide compounds on otogenous infection and (2) the surgical approach to the meninges by multiple incisions of the dura made at the time of mastoidectomy, in substantiation of the procedure outlined by Dr. Daniel Cunning. S. W., an 11 year old boy, was admitted to the service of Dr. Daniel Cunning on April 17, 1943, with the following history: One month before admission he had measles, and pain developed in the right ear. The right drum ruptured spontaneously twenty-eight days before admission, with some relief of pain. The ear discharged for four or five days and then apparently cleared up. The boy went back to school for three or four days and felt well. About eighteen days before admission the pain in the right ear returned, and the