SURGICAL COMPLICATIONS AND SEQUELS OF FEVERS. 



15 



The results of necrosis vary with the situation. The ordi- 

 nary sinuses etc., I need not mention further. If in the 

 sacruui, coccyx, or innominate bone, perineal fistulas may 

 result, of which I have found 3 cases. If in the mastoid or 

 petrous bone, the brain and its memln'anes may be involved. 

 The following resume of the case of Meusel is of especial 

 interest, as it throws so much light on the cause of the necrosis, 

 the clot in the meniiigea magna, and is as extraordinary for 

 tlie audacity of the treatment as for the success of the result. 



Fig. 1. 



Necrosis of Frontal (A), Parietal (B), and greater win,<j of Sphenoid (C) bones, 

 following typhoid. In B and C the middle meninsjeal artery and its branches 

 are seen. Natural size. Meusel, Deutsche Klinilc, 1872, p. 266. 



A student in the gymnasium, set. 19, at Easter in 18fi8, had 

 an attack of typhoid fever, went home when convalescent, but 

 did not improve, and suffered much from headache. In 

 August, four months after the fever, he had a large fluctuating 

 abscess over the right parietal region, which was opened, and 



