Abstract
The course of 11 children with mastoiditis and benign intracranial hypertension has been reviewed. All patients underwent mastoidectomy. Necrotic tissue was observed to compress the lateral sinus and obstruct intracranial blood flow in all; in addition, frank thrombosis of the lateral sinus was thought to exist in 3. Additional therapy included antibiotics, anticoagulants, ligation of the internal jugular vein, serial lumbar punctures, and subtemporal decompression. The presumed pathogenesis of this disease and the value of the various forms of therapy are discussed.