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September 1950

MÉNIÈRE'S SYNDROME: A Proposed Classification and Differential Diagnosis

Author Affiliations

From the Departments of Otorhinolaryngology, Temple University Hospital and Jewish Hospital.

Arch Otolaryngol. 1950;52(3):373-379. doi:10.1001/archotol.1950.00700030395006

IN REVIEWING the literature on the subject of Ménière's syndrome, one is amazed at the confusion which exists regarding the nomenclature and etiology of the symptom complex of vertigo, tinnitus and impaired hearing.

What one author calls Ménière's syndrome, another calls Ménière's disease, and still others will list this symptom complex as aural vertigo or give it other names.

Politzer1 applied the term Ménière's disease to the acute explosive type or apoplectiform attack irrespective of etiology. Ménière's symptom complex he considered as cases of vertigo, tinnitus and deafness occurring in patients with previous aural disease. Later, Politzer applied the term Ménière's disease to various diseases of the ear and central nervous system, manifested by attacks of dizziness.

Furstenberg2 applied this term to the explosive, vertiginous attack which fells the victim in his track and which is the result of interruption of the circulation to the brain and retention of sodium

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