EXTRACTS FROM FOREIGN JOURNALS. 
231 
EXTRACTS FROM FOREIGN JOURNALS. 
SUPPURATIVE CE1?EBR0 T SPINAL MENINGITIS. 
r»Y M. M. Nocard. 
After suffering with a suppurative collection of the sinuses 
of the right side, the subject of this case was operated upon by 
trephining and irrigations of astringent solutions. At first she 
seemed to improve as indicated by the diminution of the dis¬ 
charge, and the reduction in size of the swelling of the inter¬ 
maxillary space. Still, some time afterwards the wound of the 
sinuses remaining open and fistulous, the wound was re-opened 
and some little pieces of necrosed bone removed. This had to 
be done over a second time some days later. Some six weeks 
from the first day of operation, she was found lying down, witli 
contracted features, eyes widely open, respiration difficult, roar¬ 
ing, pulse hard, 45 per minute, mucous membranes injected, tem¬ 
perature 38°9. When standing up the roaring disappeared. No 
appetite. The animal seems worn out, in a deep coma, her head 
hangs down and rests in a corner of the stall, perfect immobility, 
entire indifference to surroundings. The next day same coma, 
reappearance of the nasal discharge—greyish, purulent, foetid, 
not adherent to the nostrils; no cough. The wound of trephin¬ 
ing is fistulous, suppurating, and surrounded with thick and very 
painful swelling, well marked periostitis of the parts. The 
frontal bone is diseased extensively. Iler condition keeps on 
with well marked symptoms of immobility ; the temperature 
rises to 39°8 and 40°5. She has an attack of vertigo, pushes to 
the wall; all her muscles, especially those of the neck, are the 
seat of violent contraction. These symptoms subside to reappear 
again several times until death takes place. 
At the post mortem all the lesions are found in the cranium 
and nervous centers. The frontal bone is diseased extensively, 
