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THE PATHOLOGIC EXAMINATION IN CAVERNOUS SINUS THROMBOSIS

THE PATHOLOGIC EXAMINATION IN CAVERNOUS SINUS THROMBOSIS One hundred and five years ago Duncan, a pathologist, discovered a septic thrombus within the cavernous sinus. Eighteen years later Vigla made the first clinical report of a case. Since then this fatal complication has been so much overlooked that fewer than three hundred cases have been recorded. The picture of this disease is so striking and its relation to adjacent foci is so constant that one wonders why it has gone undiagnosed. Two factors may help to explain the lack of recognition of this lesion: (1) the peculiar structure and the hidden position of the cavernous sinus, and (2) the prompt and fatal complicating meningitis. Nature seems to have been aware of her mistake when she constructed the cavernous sinus, because she hid it so carefully that not only was man late in finding it but he has never been able to attack it surgically with any success. ANATOMY http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

THE PATHOLOGIC EXAMINATION IN CAVERNOUS SINUS THROMBOSIS

JAMA , Volume 87 (14) – Oct 2, 1926

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Publisher
American Medical Association
Copyright
Copyright © 1926 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1926.02680140006002
Publisher site
See Article on Publisher Site

Abstract

One hundred and five years ago Duncan, a pathologist, discovered a septic thrombus within the cavernous sinus. Eighteen years later Vigla made the first clinical report of a case. Since then this fatal complication has been so much overlooked that fewer than three hundred cases have been recorded. The picture of this disease is so striking and its relation to adjacent foci is so constant that one wonders why it has gone undiagnosed. Two factors may help to explain the lack of recognition of this lesion: (1) the peculiar structure and the hidden position of the cavernous sinus, and (2) the prompt and fatal complicating meningitis. Nature seems to have been aware of her mistake when she constructed the cavernous sinus, because she hid it so carefully that not only was man late in finding it but he has never been able to attack it surgically with any success. ANATOMY

Journal

JAMAAmerican Medical Association

Published: Oct 2, 1926

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