MacNidder, James.

2018-01-31T11:47:39Z

2018-01-31T11:47:39Z

1905

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.

http://hdl.handle.net/1842/28511

The University of Edinburgh

Annexe Thesis Digitisation Project 2017 Block 16

Vertigo and its clinical significance

Thesis or Dissertation

MD Doctor of Medicine