Mrs. E., aged 40, weight 210 pounds.
The patient had had a discharge from the right ear since she was six weeks old; there was nothing left of the membrana tympani. The condition had never given any trouble till shortly before she consulted me. She complained of having had attacks of dizziness, lasting about five minutes each. She had had little sleep for several weeks and sometimes she awakened at night with an attack. Occasionally she vomited, and at times she became nauseated as soon as she awakened. She had also had attacks of fainting.
The patient was pale and hysterical. On deep pressure there was pain, principally over the antrum. As soon as the caloric test was begun she screamed and became greatly excited; this