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August 1954

MÉNIÈRE'S DISEASE TREATED BY PORTMANN'S OPERATION: Report and Clinicopathological Study of a Case

Author Affiliations

From the Otological Research Unit, Medical Research Council, National Hospital, Queen Square (Dr. Hallpike) and the Department of Otology, County Hospital, Lincoln (Dr. Harrison).

AMA Arch Otolaryngol. 1954;60(2):141-144. doi:10.1001/archotol.1954.00720010147002

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THE SUBJECT of this communication, a woman of 50 years, was first seen in April, 1948. She then gave a history of one month's duration of attacks of rotational vertigo preceded for some months by increasing deafness of the right ear accompanied, since the onset of vertigo, by a continuous humming tinnitus in the right ear.

Examination of the ears, nose, and throat revealed nothing abnormal. Roentgenological examination of the paranasal sinuses showed mucosal thickening within the right antrum, which was washed out with negative results.

Pure-tone audiometry, carried out in May, 1949, gave the result shown in Figure 1. Tuning-fork tests showed the deafness of the right ear to be of the perceptive type, the Weber test being referred to the left, with a false negative Rinne test on the right mastoid. There was no spontaneous or positional nystagmus, and the caloric tests gave the results shown in Figure

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