MÉNIÈRE'S SYNDROME

Abstract
The variety of treatments advocated for Ménière's disease is sufficient proof that the mechanism producing the attacks is not yet completely understood. Nevertheless, since good results are claimed for all methods, it has seemed that it would at least be interesting, and might be instructive, to compare the methods on the basis of published results. MEDICAL TREATMENT Table 1 shows the results claimed for various current medical treatments. All of these methods but one are predicated on clinical experiments made by their originators. Intravenous administration of histamine alone was a chance finding and is in that sense empiric. The usual criterion taken for success in treatment is relief of the attacks of vertigo. This varies rather widely in different series; but if the combined figures for relief and for marked improvement are taken, it is remarkable how closely the results coincide. In every series but one, more than 80 per

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