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REPORT OF CASE
A man, aged 68, complained of symptoms of nasal catarrh, defective hearing and the subjective hearing of sounds or words when reading or thinking. There was nothing significant in the family history. The patient had the usual diseases of childhood—measles, mumps and whooping cough; he did not use tobacco or alcohol and had not had venereal disease. Since adolescence, he had enjoyed good health, except for the nasal and aural symptoms. The nasal symptoms dated back for twenty-five years. In 1916, he had symptoms of a bilateral otitis media. The nasal symptoms were associated with the development of nasal polypi. He had had tinnitus for the past twenty years, which he described as cricket-like sounds and crackling noises, especially on the left. He stated that the defect in the right ear developed during a cold in the head in 1916.
In the fall of 1917,