IT SOON becomes apparent to any student of Ménière's syndrome that the disturbance which produces the characteristic vestibular and cochlear manifestations is not confined to the ear alone but that there is, in addition, a general disturbance which involves other organs and other systems. This was pointed out by Mygind and Dederding as long ago as 1934.1 Although the ear is the presenting organ at fault and is responsible for the classic triad of symptoms characteristic of Ménière's syndrome, some general disturbance is also present and is at times severe. It is for this reason that therapeutic measures directed toward the ear alone, such as inflation of the eustachian tube, are rarely effective even in controlling the attacks of vertigo and that surgical procedures, though they may abolish the acute attacks of vertigo, do not restore the patient's hearing or health or control the progress of the disease. The patient,
ATKINSON M. MÉNIÈRE'S SYNDROME: Observations on Vitamin Deficiency as the Causative Factor: III. The General Disturbance. Arch Otolaryngol. 1950;51(2):149–164. doi:10.1001/archotol.1950.00700020170001
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