Abstract
1. Giddiness is sometimes a very important symptom
and may indeed be the Key to the Diagnosis.
2. Clinical experience shows that the two peripheral
end organs that regulate the balancing mechanism
of the body are the eye and the ear.
3. The mechanism of the semicircular canals is
extremely sensitive and may be upset by a very
slight and sometimes contemptible cause e.g. wax in
the ear.
4. The poison of gout may produce a train of symptoms
which cannot at first be distinguished from
"Menier' s Disease"
5. Cases of stomach vertigo are to be looked upon
with great suspicion. The ear and stomach act and
react upon .one another.
6. Vertigo pointing to grate cerebral disease may be
entirely due to inco-ordination of the occular muscles.
7. The Cerebellar . &c. disease, the Vertiginous
movements are more important than the vertiginous
sensation.
8. Anything which tends to upset the cerebral
circulation may cause giddiness.
9. The abdominal muscles are extremely important
organs. Their weakness may be discovered by
unusual irregularity of the pulse in the horizontal
and vertical position and of the vertigo is an
import ant sign
10. Tinnitus may exist along with cerebellar vertigo
and also with vertigo resulting from altered cerebral
circulation. If present with occular vertigo we
should suspect that the diagnosis is at fault
12. If vertigo occurs in Spinal Disease the intra crainal part of the nervous system is probably
involved
13. Some cases of giddiness are only to be explained
by a study of the family and life history of the
patient.
14. The fine oscillatory movement of the eye ball are
of doubtful value as many people have not complete
command of their occular muscles.
The Subject of Giddiness is a very difficult and a very complicated one . This alone I know for certain
that there is much that I do not know, much that I
do not understand. I am sceptical of my own
conclusions. I am sceptical of my own scepticism.
