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August 1965

Endolymphatic Subarachnoid Shunt for Ménière's DiseaseReport of a Case With an Unusual Complication Following This Procedure

Author Affiliations

From the Otologic Medical Group, sponsored by the Los Angeles Foundation of Otology.

Arch Otolaryngol. 1965;82(2):144-146. doi:10.1001/archotol.1965.00760010146013

SINCE Aug 7, 1961, a total of 243 primary operations involving endolymphatic subarachnoid shunt have been performed. The following report of a case represents an unusual complication following this procedure.

Report of Case  A 54-year-old diabetic man was seen in October 1963. He presented with a two-month history of tinnitus, fullness, and fluctuating hearing loss in the right ear. He also complained of intermittent positional vertigo of many years' duration.Audiograms showed a low-tone loss in the right ear. His Short Increment Sensitivity Index (SISI) score was 0% at a frequency of 4,000. Petrous pyramid x-rays were interpreted as normal. Caloric responses were normal.The patient was prescribed a regimen of intravenous histamine, diphenhydramine (Benadryl) hydrochloride, and a nutritional supplement (Lipoflavonoid). He continued to complain of fullness in the right ear, tinnitus, and diminished hearing. Dizziness and nausea occurred almost daily.Because of his failure to respond to the

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