Two cases of syphilitic disease of the labyrinth, with remarks / by David Webster.

  • Webster, David, 1842-1923.
Date:
[1883?]
Catalogue details

Licence: Public Domain Mark

Credit: Two cases of syphilitic disease of the labyrinth, with remarks / by David Webster. Source: Wellcome Collection.

    9/10 (page 82)
    “ H. D. Left = watch at two and a half inches. Tuning-fork heard only in left ear when placed on middle or extreme right of teeth or forehead. Closing the left, it was heard only in the left ear. Closing the right, it was heard only in the left ear. Closing . both, it was heard only in the left ear. “ Tuning-fork, left ear, by aerial conduction, forty-five seconds ; by bone conduction, fifteen seconds. The right ear cannot be made to hear the tuning-fork either by aerial or by bone-conduc¬ tion. The patient says he feels the vibrations, but does not hear the sound, with that ear. “ Appearances : Left membrana tympani slightly removed from normal appearance. Malleus drawn slightly backward and a little foreshortened. Light spot slightly cut off on base, but of normal brilliancy. Drumhead not thickened at all, but translucent. Right membrana tympani presents same appearances as left. Malleus not so much, if any, foreshortened. Light spot, bright and glistening. Base, perhaps, slightly indistinct ; otherwise normal. “Both membranse act well under Siegle’s tympanoscope. “ Diagnosis : Right, labyrinthine or nervous deafness. Left, otitis media catarrhalis, with labyrinthine complications. Patient has occasional vertigo, with inclination to fall laterally, and a feeling of heavy weight in head. During the time of his total deafness in both ears he experienced singing noises, but has had none since.