Abstract
SINCE Aug 7, 1961, a total of 243 primary operations involving endolymphatic subarachnoid shunt have been performed. The following report of a case represents an unusual complication following this procedure. Report of Case A 54-year-old diabetic man was seen in October 1963. He presented with a two-month history of tinnitus, fullness, and fluctuating hearing loss in the right ear. He also complained of intermittent positional vertigo of many years' duration. Audiograms showed a low-tone loss in the right ear. His Short Increment Sensitivity Index (SISI) score was 0% at a frequency of 4,000. Petrous pyramid x-rays were interpreted as normal. Caloric responses were normal. The patient was prescribed a regimen of intravenous histamine, diphenhydramine (Benadryl) hydrochloride, and a nutritional supplement (Lipoflavonoid). He continued to complain of fullness in the right ear, tinnitus, and diminished hearing. Dizziness and nausea occurred almost daily. Because of his failure to respond to the
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