Abstract
A case report was made on a 55 year-old male. Originally the patient contracted extensive generalized paranasal sinusitis and later developed suppurative meningitis and brain abscess. His fatal outcome was brought by suppurative ventriculitis which was caused by above meningitis and abscess.
On his admission, the patient was thought to be hopeless because of his poor general condition and of his age. From Japanese literatures, author collected all cases of rhinogenic brain abscess. or intracranial abscess aed analysis was made. Cases which failed to demonstrated any suggestive find in gsoftheso-called space occupying lesions by routi neneurologic examination, cerebral angiographies and ventricular aspirations, were attentively reviewed. All 10 cases of postoperative meningitis survived.
Among 15 cases of naturally acquired meningitis, 8 had brain abscesses and 3 of them were recorded dead. As pointed out by Dr. Hirose, fhe naturally contracted meningitis tends to show higher mortality, because 1) the specific treatment is instituted too late in most cases, 2) primary focus is hard to locate and theinfection spreades en route of the vascular tree, 3) many patients are attended by severe complications. Meniegitis resulted from postoperative radiation treatments for the maxillary carcinoma amounted to 5 cases in the auther's review.
It was asumed that increasing number of this typeof meningitis would appear in the literatures.
