WILLIAM G. ENSIGN, M.D.
Recently two cases have been seen in which the initial illness was indistinguishable from Ménière's syndrome but in which the final disease was an occlusion of the posterior inferior cerebellar artery. In one case a Ménière's syndrome was present for six days and in the other for two weeks before the arterial occlusion. One patient eventually recovered completely, whereas the second died.
Most authors2, 3 feel that the diagnosis of Ménière's syndrome is relatively easy, but difficulty occasionally arises because there is no unanimity of opinion as to what actually constitutes Ménière's syndrome. The problem is further clouded by the
ENSIGN WG. MÉNIÈRE'S SYNDROME AS A PREMONITORY SYMPTOM OF CEREBROSPINAL VASCULAR OCCLUSION: A REPORT OF TWO CASES1. Ann Intern Med. ;36:1167–1172. doi: 10.7326/0003-4819-36-5-1167
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Published: Ann Intern Med. 1952;36(5):1167-1172.
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