Excerpt from Archives of Otology, Vol. 36: Edited in English and German Operation, June r1th, under ether, the incision of the previous operation was reopened and the cavity was found to be lined by epithelium, except the portion corresponding to the mastoid tip. The inner table everywhere appeared sound and intact. The dura over cerebellum and temporo Sphenoidal lobe was exposed and presented no evidence of infection. The sinus wall was thin, soft, smooth, and dented on pressure. A small flap of dura was turned down from temporo-sphenoidal lobe. This was followed by some bulging of the brain substance. The vessels of the pia-arachnoid were injected but otherwise no signs of meningitis were made out. As the meninges Showed only a slight injection and the brain appeared to be normal, in color and consistency, exploration of the brain was not thought advisable. The patient slept well during night and his condition in the morning showed little change. Temperature, 102. Pulse, 100. Later in the day he became unconscious, the neck was rigid, and there was twitching of fingers, the patellar reflexes were not increased. Kernig's Sign was present. Paralysis of bladder required the use of the catheter. That afternoon the wound was dressed and a large flap of dura was turned back. The temporo-sphenoidal lobe was explored with a grooved director. A rather marked bulging of the brain followed the turning back Of the dura flap and the pulse jumped from 99 to 154. Patient died that night. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.