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Paul W. Bauer, MD; C. Bruce MacDonald, MD; Gerard F. Domanowski, MD; Nabil S. Fuleihan, MD
Boston, Mass (Drs Bauer, MacDonald, and Domanowski) and Beirut, Lebanon (Dr Fuleihan)

Arch Otolaryngol Head Neck Surg. 1998;124:1395.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 31-YEAR-OLD man was evaluated for 6 months of vertigo and hearing loss in the right ear. His symptoms were initially treated with several courses of various antibiotics for suspected otitis media, without success. He noted that loud noise evoked vertigo (Tulio phenomenon), and he found that by applying pressure into the right external auditory canal, by pressing on the tragus, he could elicit vertigo. Approximately 1 year earlier, he had noted a tender mass in the left occipital region that had resolved spontaneously over 2 months.

Microscopic examination of the ears revealed no abnormalities. There was no spontaneous nystagmus. A Hennebert sign (purely rotatory nystagmus during central gaze) was elicited on the right. The occipital region was normal to palpation. Audiology revealed a mild high-frequency sensorineural hearing loss in the right ear, with . . . [Full Text of this Article]

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