ADVANCES IN THE UNDERSTANDING OF RHINOLOGIC AND OTOLOGIC CONDITIONS RELATED TO THE NERVOUS SYSTEM: A Critical Survey of the Literature

AURAL AND NASAL CONDITIONS IN HYPOPHYSIAL DISEASES  Deafness in Hypophysial Cachexia (Simmonds' Disease¹⁷⁸).In the case of tuberculoma of the anterior lobe of the hypophysis reported by Kirschbaum and Levy,¹⁷⁹ the patient, a man aged 44, had deafness (with associated eunuchoidism and blindness). He also had severe dizzy spells with increasing difficulty in walking for three years and had been completely bedridden for two years. Both hearing and vision had begun to fail thirty years before his admission to the hospital, and for the past eight years he had been totally deaf and blind.Examination.—His skin was smooth, dry and yellowish. Examination of the eyes revealed clouding of the lens and scleral irregularities. The musculature was generally flaccid. A dextrose tolerance test showed a fasting blood sugar level of 60 mg. per hundred cubic centimeters. After 100 Gm. of dextrose had been administered orally, the blood sugar levels, determined at