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August 14, 1915


Author Affiliations


JAMA. 1915;LXV(7):608-615. doi:10.1001/jama.1915.02580070042012

The following cases may be considered as fairly typifying the symptoms and findings in neuritis of the eighth nerve:

Case 1.  —J. B., a man aged 31, stated that he was perfectly healthy until nine days previous to the examination, when he had a severe attack of influenza, and in sneezing he noticed that his right eye did not close, and that the angle of the mouth on the right side did not move. This was followed in a day or two by tinnitus, and the day before the examination he was attacked by dizziness and vertigo. Examination showed Shrapnel's membrane thin and retracted.

EXAMINATION OF RIGHT EAR  Diagnosis: A case of neuritis just starting, with the cochlear nerve very slightly affected; the vestibular more so, but still giving a good reaction. The facial showed paresis, but not complete paralysis.A Wassermann reaction proved positive. Under prompt antisyphilitic treatment of

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