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TRAUMATIC OSTEOMYELITIS OF THE CRANIAL VAULTWITH PARTICULAR REFERENCE TO PATHOGENESIS AND TREATMENT
LEO J. ADELSTEIN, M.D.;
CYRIL B. COURVILLE, M.D.
Arch Surg. 1933;26(4):539-569.
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Osteomyelitis of the bones of the skull occurs most commonly as a result of inflammatory conditions in the accessory nasal sinuses. Infection of the frontal bone following operative procedures on the frontal sinus has been made the subject of numerous case reports and of several extensive treatises on its etiology, pathology and treatment. Osteomyelitis of the maxilla following antral infections is more rare. True osteomyelitis of the petrous bone and the adjacent occipital bone following disease of the middle ear is probably still more rare, because of the anatomic characteristics of the bone itself.
Traumatic osteomyelitis of the cranial vault has been given but little attention in the now extensive literature dealing with craniocerebral injuries. Could a complete list of such cases be compiled from all sources, it would be considerably more impressive, for individual cases must be more common than might be supposed from a review of the literature.
. . . [Full Text PDF of this Article]
Author Affiliations
Junior Attending Neurosurgeon, Los Angeles County General Hospital; Resident Neurosurgeon and Neuropathologist, Los Angeles County General Hospital LOS ANGELES
From the Neurosurgical Service of Dr. Carl W. Rand, and the Neuropathological Laboratory, Los Angeles County General Hospital.; Dr. Adelstein has followed most of the cases presented herewith through their long clinical course, and has elaborated the plan of treatment. Dr. Courville is responsible for the proposed classification of the condition, based on roentgenologic studies, and the discussion of its pathogenesis and pathology. Dr. Ray A. Carter, of the Department of Roentgenology of the hospital, supplied the roentgenograms illustrating the article.
Footnotes
Read before the Section on General Surgery at the Sixty-First Annual Session of the California Medical Association, May 4, 1932.
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