Case 1.
—Epidural and perisinus abscess; no history of otorrhea; extensive bone disease; death from suddenly developed meningitis.
History.
—The patient, O. B., aged 33, on the advice of his family physician, Dr. Sansbury, called at my office on May 9, 1908. He gave a history of an attack of grip the latter part of March, when he first began to suffer with his ear. There was no discharge, but severe pain in the right ear, attended by throbbing and ringing noises. The temperature had ranged about 102 F. and he had had two chills. His chief symptom had been the intense pain just back of the right ear, extending up over the head on the right side. The pain was described as maddening, and as occurring in paroxysms with intervals of freedom. Formerly there was considerable "soreness" in this region. There was no history of any suppuration either