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May 1967

Summation of the Symposium on the Vertiginous Patient

Author Affiliations

From the Division of Neurological Surgery, The John Hopkins School of Medicine, Baltimore.

Arch Otolaryngol. 1967;85(5):558-560. doi:10.1001/archotol.1967.00760040560019

OF ALL LIFE'S miseries, vertigo seems to be at the acme of human suffering. Most patients are able to withstand pain of almost any degree, but few can tolerate the peculiar disorientation in space which accompanies a vertiginous attack. In spite of the abject misery produced by such afflictions, relatively little is known of their pathogenesis. A summary of the present symposium should consider both positive and negative features. I would have thought in a symposium on vertigo that some consideration should have been given to membrane transfer, particularly of water and electrolytes. Both Dr. Shambaugh and Dr. Hilger emphasized that hydrops was the most common cause of the symptoms. If this is the case, one would expect some abnormality of membrane permeability so that water would be retained in the labyrinth because of the failure of electrolytes, particularly sodium, to leave through the membranes. Clinical therapeutic studies suggest that

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