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Daniel Weller

, progressive deafness in the left ear had occurred, and three months later impairment of hearing in the right ear. In addition, for several months she had had frequency of urination and had become fatigued easily. There had been no otorrhea, tinnitus, dizziness, headache or disturbance in equilibrium. The family and past personal histories were noncontributory. Examination . The patient was ambulatory, afebrile, cooperative and alert. In repose the facial expression was somewhat drawn and blank. The heart and lungs were normal. The ears, nose and throat were essentially

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Axel Olsen and Gilbert Horrax

other causes). Excluding the thirty-two year case, the average period of deafness was two years and ten months. With the exception of the 2 cases in which deafness was absent and 4 cases in which it followed tinnitus, deafness was preceded by other symptoms in but 2 patients. In 1 of these, trigeminal disturbances occurred earlier, and in the other, unsteadiness in walking. These 2 exceptions, however, should be borne in mind since they are a definite departure from the almost universal chronology. Tinnitus was present in 26 patients and absent in 16. It was

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Arnold P. Friedman, Charles Brenner and D. Denny-Brown

of damage to the labyrinth. In only one of the patients did tinnitus and deafness develop, and these at intervals of two and four months after the injury respectively. In these four patients the relationship between injury and subsequent vertigo therefore remains doubtful for none had evidence of damage to the ear immediately after the injury. In the remaining seven patients vertigo occurred in the period immediately following the injury. One had initial bleeding from the ears, bilateral deafness, and sixth nerve weakness, with postural vertigo lasting six weeks

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I. Mark Scheinker

acute pulmonary edema. On previous admissions he had complained of repeated attacks of nausea, vomiting, rotatory vertigo, headaches and tinnitus. During the last ten years he had noticed a slowly progressing impairment of hearing. For several months prior to his final admission he complained about gradually increasing ataxic gait and he experienced difficulty in swallowing. Examination on admission in 1938 disclosed a primary optic atrophy on the left and early papilledema with small hemorrhages on the right. There was a fine horizontal nystagmus on looking to

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Roman Arana and A. Asenjo

localization was in the posterior fossa and in 7 there was a single cysticercosis of the fourth ventricle. All were verified either surgically or by autopsy. The results of the ventriculographic studies in each group are given in the following case reports. VENTRICULOGRAPHY IN CYSTICERCOSIS OF THE POSTERIOR FOSSA (Thirteen Cases) Case 1 . E.T., female, aged 37. Admission: Aug. 4, 1940. Symptomatology of vertigo and tinnitus. Since 1938 progressive headaches associated with vomiting. Vision right eye 4/24; left eye can only distinguish movement. Ventriculogram

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Harold C. Voris

that of Mrs. J. H. G., a 49-year-old woman, first seen in February 1935. At that time she complained of failing vision, nausea and vomiting, and dizziness during the preceding year with tinnitus for one month. The past history was not relevant except for periodic frontal headaches occurring on an average of once monthly since the age of 18. There had been no change in the intensity and frequency of these headaches during the preceding year. General physical and neurological examinations revealed no significant findings except bilateral papilledema of 3 to 4 diopters

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Penetrating Craniocerebral Injuries

Evaluation of the Late Results in a Group of 200 Consecutive Penetrating Cranial War Wounds

George L. Maltby

40 Headache 35 Dysphasia and allied disorder 33 Visual field defects 29 Dizziness and vertigo 19 Convulsive seizures only residuum 15 Defective hearing 15 Mental deterioration, personality changes 14 Facial paralysis 8 Sensory deficit (marked) 6 Blindness 3 Olfactory disturbance 3 Tinnitus 3 Diplopia 2 Fifth nerve changes 1 Ataxia 1 Forty patients (20 per cent) had no residua other than the cranial defect, and there were 15 more

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Arterio-Venous Angioma (Hamartoma) of the Brain with Intracerebral Hemorrhage

Report of a Case with Operative Removal of the Hematoma and Recovery

Oscar A. Turner

no history of tinnitus or symptoms referable to the auditory system. The past history, aside from that given above, was non-contributory. Blood Kahn and Kline tests were negative; no abnormalities were found in the usual laboratory studies. The patient was right-handed. CASE REPORT Examination He appeared to be acutely ill and quite lethargic but was nevertheless able to answer questions coherently. Blood pressure was 126/22; pulse 68; respirations 24; and temperature 99.2. There was a left spastic hemiplegia with practically total paralysis of the upper

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Antonio Gonzalez Revilla

average of 7.5 years. In 1 case tic was present 11 years before impairment of hearing and in another both the 5th and 8th nerves were affected simultaneously. Tinnitus on the affected side was present in only 5 cases and bilateral tinnitus in 1. In 1 case the tinnitus, which had been present for 7 years, abruptly disappeared with the onset of pain. Dizziness was present in 1 case. Dysphagia occurred only once in this series, this being in the one case that did not show any impairment of hearing. There was a history of gustatory fits in the affected side in 1 case. In 10

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James C. Walker and Gilbert Horrax

forced to seek support to keep from falling. Similar episodes recurred about once a month and lasted for 2 or 3 minutes, being followed by unsteadiness in walking of about 10 minutes' duration. There was no nausea nor vomiting at the time and no tinnitus. There had been partial deafness of the left ear for 35 years, with no recent change in this defect. For 6 months prior to admission he had been continually unsteady with improvement on lying down. Two months before admission he began to have episodes of vomiting about once a week. There was no true diplopia, but on