Article: Meniere's syndrome, otosclerosis, and insulin resistance syndrome.(VESTIBULOLOGY CLINIC)

A 45-year-old man presented to the author's office with a long-standing history of dizziness. His otologic symptoms had begun when he was approximately 13 years old; at that time, he first became aware of tinnitus in both ears in relative quiet while hunting. A decade later, a physician had recommended that he consider amplification to enhance his hearing, which had begun to deteriorate. But the patient declined to use a hearing aid, and his bilateral tinnitus and hearing loss progressed. When he was about 30 years of age, he experienced a brief spell of light-headedness with some nausea. These symptoms recurred about twice a year, but the patient shrugged them off as ...

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