The Meniere symptom-complex / by S.P. Goodhart.

  • Goodhart, Simon P. (Simon Philip), 1873-
Date:
1908
Catalogue details

Licence: In copyright

Credit: The Meniere symptom-complex / by S.P. Goodhart. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    whose anatomical basis is found to be liremorrbage in the auditory labyrinth; we also find in these infiltration of the anditory nerve. The apoplectiform onset of deafness, partial or complete, tinnitus, vertigo and vomiting may appear in those individuals free from ear trouble and pre- viousjy also in good general health. Again, the classic triad may come on in those of normal hearing apparatus but otherwise predisposed by active syphilis or its consequential following, particu- larly tabes dorsalis; by general arterial disease ; nephritis ; by leukaemia. In another class we may place those cases determined by trauma such as re- suit from violent blows upon the head, cerebral concussion, direct injury to the labyrinth, or from Caisson disease. In the above cases we have presupposed freedom from previous acute or chronic ear disease. Not uncommonly, however, the Meniere symptom-complex develops in those with either acute ear affection or with a chronic form of otitis. The latter, the chronic ear cases, are by far more fre- quently associated with the Meniere triad than the acute. However, in acute labv-