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We found no relief of vertigo in four patients who qualified for this measure and no improvement in hearing. Histologic review of temporal bones from three patients with syphilitic hydrops revealed syphilitic involvement of the endolymphatic duct system. This may explain why endolymphatic shunt surgery may not be beneficial.<\/jats:p>","DOI":"10.1177\/019459988809900606","type":"journal-article","created":{"date-parts":[[2017,1,5]],"date-time":"2017-01-05T15:11:46Z","timestamp":1483629106000},"page":"574-577","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Management of Vertigo in Patients with Syphilis: Is Endolymphatic Shunt Surgery Appropriate?"],"prefix":"10.1002","volume":"99","author":[{"given":"Lucy","family":"Shih","sequence":"first","affiliation":[{"name":"University of Southern California School of Medicine at Los Angeles Los Angeles California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"John T.","family":"McElveen","sequence":"additional","affiliation":[{"name":"Duke University Medical Center Division of Otolaryngology Durham North Carolina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Fred H.","family":"Linthicum","sequence":"additional","affiliation":[{"name":"House Ear Institute and Otologic Medical Group, Inc. 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