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September 21, spinal puncture was made. One ounce of clear fluid under increased pressure was removed; no micro¬ organisms were found. A diagnosis of tuberculous meningitis secondary to chronic mastoiditis was made. Clinical Course.-Two days later, there developed bilateral,doi:10.1001/jama.1921.92630040027011 fatcat:dyu7nidqpba2dhm5lkpfuhcnqq