{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T02:45:18Z","timestamp":1777862718611,"version":"3.51.4"},"reference-count":0,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[1929,5,1]],"date-time":"1929-05-01T00:00:00Z","timestamp":-1283472000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Proceedings of the Royal Society of Medicine"],"published-print":{"date-parts":[[1929,5]]},"abstract":"<jats:p>Symptoms revealing a state of consciousness, attributable to inco\u00f6rdination of afferent impulses connected with the vestibular system\u2014disturbances of muscle-sense\u2014vestibular ocular tracks\u2014vestibular-spinal tracks.<\/jats:p>\n                  <jats:p>Different Vertigo-Complexes.\u2014Destructive lesions of labyrinth, or of vestibular tracks, partial or complete.\u2014Heterogeneous stimulations of the paired intact vestibular-end organs.\u2014The hypersensitive labyrinth.\u2014Clinical manifestations of vertigo, associated with nausea, headache, visual disturbances, nystagmus, diplopia, staggering gait, vasomotor and cardiovascular symptoms, pallor, flushing, sweating, dyspn\u0153a, fainting, vomiting and diarrh\u0153a.<\/jats:p>\n                  <jats:p>Objective Examination.\u2014The tympanic membrane.\u2014Middle-ear track.\u2014Upper air passages.\u2014Hearing tests.\u2014Oculomotor tests.\u2014Labyrinthine reactions.\u2014Postural, caloric, galvanic tests.\u2014Differentiation between destructive and non-destructive disturbances of labyrinth.\u2014Discrimination between peripheral and central lesions.\u2014Vertigo associated with acute, non-perforative otitis media, with chronic otitis media, with labyrinthine fistula, with otosclerosis, post-suppurative adhesions; with peripheral nerve deafness, gun deafness; with rhinitis, ethmoiditis, sinusitis, nasal polypi, postnasal catarrh and dental infections.\u2014Influence of general health on recurrent vertigo and vice versa.\u2014Other factors. Syphilis, malaria, etc.<\/jats:p>\n                  <jats:p>Principles of Treatment.\u2014Seek the cause, which, if peripheral, may be removed by operations on the ear, nose, throat, or even by extraction of dead teeth.\u2014If central, by intracranial surgery, decompression, or by neuropathic medical treatment.<\/jats:p>\n                  <jats:p>Controversial Problems.\u2014(1) Medicinal treatment: Iodide, bromides, atropine, quinine. (2) Attention to upper air-passages. (3) Fenestration of tympanic membrane. (4) Possible value of K\u00fcster's operation in certain cases. (5) Exploration of the saccus-endolymphaticus. (6) Fenestration of the external semicircular canal. (7) Indications for destroying the labyrinth.<\/jats:p>","DOI":"10.1177\/003591572902200738","type":"journal-article","created":{"date-parts":[[2019,7,19]],"date-time":"2019-07-19T03:27:50Z","timestamp":1563506870000},"page":"965-986","source":"Crossref","is-referenced-by-count":2,"title":["Discussion on Vertigo"],"prefix":"10.1177","volume":"22","author":[{"given":"Sydney","family":"Scott","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,9]]},"container-title":["Proceedings of the Royal Society of Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003591572902200738","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/003591572902200738","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:15:15Z","timestamp":1777526115000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/003591572902200738"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1929,5]]},"references-count":0,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2016,9]]},"published-print":{"date-parts":[[1929,5]]}},"alternative-id":["10.1177\/003591572902200738"],"URL":"https:\/\/doi.org\/10.1177\/003591572902200738","relation":{},"ISSN":["0035-9157"],"issn-type":[{"value":"0035-9157","type":"print"}],"subject":[],"published":{"date-parts":[[1929,5]]}}}