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Article
December 1944

COLLEGE OF PHYSICIANS OF PHILADELPHIA, SECTION ON OTOLARYNGOLOGY, AND THE PHILADELPHIA LARYNGOLOGICAL SOCIETY

Arch Otolaryngol. 1944;40(6):513-517. doi:10.1001/archotol.1944.00680020643016

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Abstract

Vertical Nystagmus Produced by Peripheral Labyrinthine Lesions. Presented by Dr. Ernest A. Spiegel (by invitation).  This article was published in full in the Archives of Otolaryngology (40:160-163 [Sept.] 1944).

DISCUSSION  Dr. Benjamin H. Shuster: In order to maintain continuity of thought in my discussion, it is well for me to summarize the points in Dr. Spiegel's talk. The whole story revolves on the idea that vertical nystagmus observed spontaneously in a patient is thought to be due to an intracranial lesion and that one hardly ever thinks of such nystagmus as being due to a peripheral lesion. Dr. Spiegel brings out by experimental means that such nystagmus can be produced by labyrinthine changes. He tries to prove this by puncturing the round windows of a cat. Vertical nystagmus of a type which changes with the position of the cat's head then developed. If the utricle is impaired, the activity of

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