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• W2062721474 abstract "This report concerns the findings and subsequent surgical procedures in a case of a 36-year-old male who complained of a four year history of frequent attacks of dizziness and tinnitus in the right ear. The dizzy attacks were vibratory in nature, or short duration and of short intervals, and always simultaneously accompanied by tinnitus. Hearing acuity in the right ear was slightly impaired but within normal limits. The history, clinical examination and pertympanal inner ear anesthesia supported the diagnosis of a lesion in the labyrinth, possibly in the otolithic organs as opposed to the ampullae. Surgical extirpation of the utricle and the lateral and anterior ampullae was initially attempted. The operation temporarily abolished the dizzy attacks and hearing was preserved. However, the patient suffered a recurrence of his symptoms two months after the surgery. Subsequent to this recurrence, a surgical modification of the saccule was then attempted which successfully abolished his dizziness but unfortunately destroyed the hearing in this ear. The essential objectives outlined in this report are twofold. Primarily, the authors have attempted a description of the clinical manifestations of an inner ear lesion localized in a specific part of the labyrinth. Secondly, a description was presented of the partial success of selective surgical ablation of damaged inner ear structures with an attempt to preserve the unaffected individual endorgans. This report concerns the findings and subsequent surgical procedures in a case of a 36-year-old male who complained of a four year history of frequent attacks of dizziness and tinnitus in the right ear. The dizzy attacks were vibratory in nature, or short duration and of short intervals, and always simultaneously accompanied by tinnitus. Hearing acuity in the right ear was slightly impaired but within normal limits. The history, clinical examination and pertympanal inner ear anesthesia supported the diagnosis of a lesion in the labyrinth, possibly in the otolithic organs as opposed to the ampullae. Surgical extirpation of the utricle and the lateral and anterior ampullae was initially attempted. The operation temporarily abolished the dizzy attacks and hearing was preserved. However, the patient suffered a recurrence of his symptoms two months after the surgery. Subsequent to this recurrence, a surgical modification of the saccule was then attempted which successfully abolished his dizziness but unfortunately destroyed the hearing in this ear. The essential objectives outlined in this report are twofold. Primarily, the authors have attempted a description of the clinical manifestations of an inner ear lesion localized in a specific part of the labyrinth. Secondly, a description was presented of the partial success of selective surgical ablation of damaged inner ear structures with an attempt to preserve the unaffected individual endorgans." @default.
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• W2062721474 date "1974-01-01" @default.
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• W2062721474 title "Suspected Sacculogenic Dizziness; Surgical Treatment By Partial Ablation — A Case Report" @default.
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• W2062721474 doi "https://doi.org/10.1016/s0385-8146(74)80003-9" @default.
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