Pretended deafness often is difficult to detect. This condition commonly arises after injuries, the complaint of deafness and vertigo persisting long after all other signs of the accident have disappeared. If these patients are seen at an early date, malingering can readily be detected by the various tests at our disposal. Often after an accident the malingerer will exaggerate preexisting ear trouble without any physical basis for complaint. If the examination is made soon enough, a traumatic drum rupture can be ascertained easily.
The success in detecting deafness malingering depends on :
1. How soon after an accident the symptoms were complained of.
2. The symptoms (unconsciousness, vertigo, vomiting).
3. When the symptoms were noted by a physician.
4. By the variation in the patient's story.
Deafness of long duration can be recognized easily from the tone of the voice. These sufferers usually have the characteristic monotone of
SCAL JC. MALINGERING DEAFNESS: TESTS IN ITS DETECTION AND REPORT OF TWO CASES. Arch Otolaryngol. 1926;3(3):237–241. doi:10.1001/archotol.1926.00580010259003
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