ABSCESS OF THE CEREBELLAR LOBE OF OTOGENIC ORIGIN: Combined Otolaryngologic and Neurosurgical Treatment in Six Cases

On the Management of Oto-Rhinogenic Intracranial Infections

“…It is becoming more and more widely accepted now (e.g. Wood, 1952;Asherson, 1948;Oliver and Leese, 1949;Mount, 1950;Botterell and Drake, 1952;Hooper, 1951;Pennybacker and Sellors, 1948;Riskaer, 1950;Shuster, 1952Shuster, , 1941Medwick et al, 1949;Tinsley, 1947;Ballantyne and White, 1953) that, under cover of these agents, a suppurative brain ksion is "ripe" for surgery when it is sufficiently advanced to produce symptoms and signs, and that to delay surgery in such a case is to withhold from the patient the best chances of recovery. This applies especially to cases with deepening coma (e.g.…”

“…It is widely accepted that failure to eradicate the primary focus may lead to recurrence of the abscess (e.g. Fincher, 1946;Pennybacker and Sellors, 1948;Medwick et al, 1949). Jooma, Pennybacker and Tutton (1951) have found that post-operative epilepsy in frontal lobe abscess cases was considerably higher after aspiration or drainage than after excision of the abscess; with abscesses in other parts of the brain their figures are slightly in favour of excision as the best method of treatment, but they comment that each case must be treated on its merits.…”