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January 1956

Vertigo: A Further Contribution to Therapy Based upon Its Physiopathological Aspect

AMA Arch Otolaryngol. 1956;63(1):25-59. doi:10.1001/archotol.1956.03830070027007

INTRODUCTION  In my three earlier articles,* I reported on the results of an investigation on the physiopathological aspects of postoperative wounds, vertigo associated with peripheral vestibular and peripheral vestibular cochlear disease Ménière's syndrome) and head and neck pain.These articles contained a presentation of Revici's † theories and hypothesis on the pathogenesis of pathological foci and showed particularly how this hypothesis could be related to the above problems in otolaryngology.These theories were presented in sufficient detail to enable the reader to understand the methods employed in the investigation of a pathological process and its manifestations and to relate them to the existence therein of an active abnormal metabolism. The abnormal metabolic process is manifested in two opposite directions. A dualism appears for the symptoms and the processes involved which manifest themselves as a local acidosis or a local alkalosis in the focus.In the first article, it was shown