This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Its Differential Diagnosis and Treatment

HENRY L. WILLIAMS, M.D.; BAYARD T. HORTON, M.D.; LOIS A. DAY, M.D.

Arch Otolaryngol. 1950;51(4):557-581.

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

THE CARDINAL symptom of Ménière's¹ disease is usually stated to be vertigo. The cardinal sign, however, appears to be inner ear deafness involving the low tones rather than the high, and more apparent on the bone conduction curve determined with the audiometer than on the air conduction curve.

Use of the term "Ménière's disease" fixes the mind of the observer on the triad of symptoms originally described (vertigo, nausea and deafness) and has prevented attention being given to the possibility that in this condition loss of hearing might occur without development of vertigo and nausea. Since the observed pathologic change appears to have its initial expression in the scala media and the symptom of vertigo is probably produced by a fortuitous deformity of the utricle, it seems possible that Ménière's disease has as its primary expression, and possibly may have as its only clinical symptom, loss of hearing. Lindsay² has . . . [Full Text PDF of this Article]

Author Affiliations
ROCHESTER, MINN.

From the Section on Otolaryngology and Rhinology (Dr. Williams), the Division of Medicine (Dr. Horton) and the Section on Gynecology and Obstetrics (Dr. Day), Mayo Clinic.

Footnotes
Read at the Eightieth Annual Meeting of the American Otological Society, Inc., in St. Louis, April 21, 1947.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?