In this study, in a Lyme-endemic area, LM was about as common as VM in older children who were hospitalized with aseptic meningitis. Attention to pertinent epidemiologic and historical data, along with physical and CSF findings, allows early differentiation of LM from VM.

Several audiological tests require knowledge of the sound-pressure spectrum at the eardrum. However, microphone readings are typically made at another, more-accessible position in the auditory canal. Recordings are then "adjusted" to the plane of the eardrum via mathematical models of the ear canal and eardrum. As bandwidths of audiological instruments have increased, ear-canal models have, by necessity, become more precise geometrically. Reported herein is a noninvasive procedure for acquiring geometry of the ear canal in fine detail. The method employs a computer-assisted tomographic (CAT) scanner in two steps to make radiographic images of parasagittal cross sections at uniform intervals along the lateral length of the canal. Accuracy was evaluated by comparing areas of cross sections appearing in radiographic images of a cadaver ear canal to cross sectional areas of corresponding michrotome slices of an injection mold of the same canal. Percent differences between these two areas had a mean value of 9.65% for 26 different cross sections of the one ear canal studied. Ear canal volume estimated from the CAT images was 6.12% different from the estimated volume of the injection mold: an improvement over the reported 39% maximum error of conventional acoustic volume measurements.

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