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ARTICLE |

A CLINICAL LECTURE

JAMA. 1888;X(1):1-5. doi:10.1001/jama.1888.02400270017001.
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ABSTRACT

TUBERCULAR MENINGITIS.  Delivered at the Woman's Medical College, Chicago, Ill.BY DANIEL R. BROWER, M.D., PROFESSOR OF DISEASES OF THE NERVOUS SYSTEM, DIDACTIC AND CLINICAL, IN THE WOMAN'S MEDICAL COLLEGE; LECTURER ON THE PRACTICE OF MEDICINE IN RUSH MEDICAL COLLEGE, CHICAGO, ILL.(Reported by William Whitford.)The subject for this morning's consideration is tubercular meningitis; basilar meningitis; acute hydrocephalus; an inflammation of the membranes of the brain that has its origin in the deposition of miliary tubercles. These miliary tubercular deposits occur mainly in the blood-vessels of the pia mater. It is an uncommon thing for the dura mater to be involved in this process. They form in the perivascular spaces and in the walls of the bloodvessels; they occur by preference in the area of distribution of the Sylvian artery.These miliary tubercles depositing themselves in the walls, contracting the cerebral blood-vessels, filling up the perivascular spaces, blocking the

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