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April 22, 1961

Ménière's Disease

Author Affiliations

New York City

From the Department of Otolaryngology, Columbia University, College of Physicians and Surgeons.

JAMA. 1961;176(3):215-218. doi:10.1001/jama.1961.63040160004007

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Abstract

MÉNIÈRE'S DISEASE, when fully developed, is characterized by a triad of symptoms, a sensory-neural hearing loss, tinnitus in the diseased ear of varying intensity, and attacks of true vertigo lasting from several minutes to several hours.

The auditory disturbances are usually characterized by wide fluctuations in the threshold of hearing, particularly in the lower and middle range. Tests for recruitment show it to be present in practically every case. During the attacks the threshold drops sharply but, particularly in early stages of the disease, may go back to normal within a few days or weeks. In advanced stages the fluctuations become less marked, and the hearing fails to return to normal or to improve markedly in the intervals between the attacks. A permanent and progressive hearing loss develops which, as a rule, is more marked in the lower and middle range. It may, however, extend uniformly over the entire

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