[Clinical and therapeutic pitfalls of a bilateral acoustic neurinoma (author's transl)]. / Pièges cliniques et thérapeutiques d'un neurinome de l'acoustique bilatéral.

A case of bilateral fluctuating deafness accompanied by vertigo and assumed to be Menier's syndrome, a diagnostic hypothesis supported by the effectiveness, on repeated occasions, of medical treatment. In fact, progressive worsening of hearing led to the finding of a bilateral perceptive deafness with a complex vestibular syndrome, whilst tomograms of the petrous temporal bones revealed bilateral acoustic neurinomas. The results of special investigations in this case are analysed: audiometry, Sisi (?) test adaptation, nystagmography, in the light of the radiological findings. It was decided to operate upon the tumour which was larger radiologically. In addition, it revealed multiple neurofibromas of neighboursing nerves (von Recklinghausen's disease). The mid-term course is described. The article ends with a review of clinical concepts in such cases and an attempt to classify therapeutic attitudes to bilateral acoustic neuromas.

[Some enigmas concerning the pathogenic etiology of certain cases of sudden deafness (author's transl)]. / Quelques énigmes étiopathogéniques concernant certaines surdités brusques.

Some facts relating to the numerous uncertainties concerning sudden deafness, which is often attributed to vascular or viral causes without convincing proof. The possible role of a cochlear hydrops, electrolyte disturbances, or rupture of the fenestra. This critical study includes many observations but the list is not exhaustive.

[Chronic otitis in the one remaining functional ear: therapeutic problems and sequelae (author's transl)]. / Problèmes thérapeutiques de l'otite chronique et de ses séquelles sur oreille fonctionnellement unique.

What should one do when a patient presents with a potentially dangerous chronic otitis, and the other ear is absent? An analysis of such dangerous cases with a cholesteatoma, more especially those with a labyrinthine fistula. Responsibility has to be taken. Medico-legal problems are evoked.

[Facial nerve neurinoma masked by otosclerosis (author's transl)]. / Neurinome du nerf facial à masque d'otospongiose.

A case of operation for presumed otosclerosis. Discovery of a neurinoma between the branches of the stapes probably originating from the geniculate. Facial paralysis was not present either before or after the operation which, in fact, was only partial (a more extensive operation was refused later on). A curious F.P. "to cold", 30 years beforehand, recovered without sequelae.

[Rhinological surgical approach to the nasal ducts (author's transl)]. / Abord chirurgical rhinologique de la partie basse des voies lacrymales.

An obstruction along the nasal duct can be approached and removed by an operation through the nose: Rouge's technique for access to the orifice below the inferior turbinate, incision of the mucosal diaphragms over a sound passed into the nasal duct, insertion of a drainage tube; all under microscopic observation.

[Renal-rachidian venous trunk. Replacement of the left renal vein. A danger for the spinal cord (author's transl)]. / Le tronc veineux réno-rachidien. Suppléance de la veine rénale gauche. Menace pour la moëlle épinière.

In two cases of paraplegia due to an inondation of the intrarachidian plexus by venous blood from the left venal vein, we studied the frequency with which the renal-rachidian trunk connected the left renal vein and the intrarachidian plexus. We show in these rare cases how it is possible, with a simple procedure, the ligature of the renal-rachidian trunk, to bring about a marked regression in the paraplegia. This procedure has been carried out five times, and it should be seen within the wider framework of a serie of procedures on the cava system, which are now practised for more than forty years.

Urethral Syndrome in the female ("irritable bladder"): the expression of fantasies about the urogenital area.

The urethral syndrome is a frequently encountered psychosomatic disorder; it constitutes the main complaint of some 20% of all women who consult a urologist. After a brief survey of the history of this syndrome, the authors examine 55 case reports of women with the urethral syndrome. The authors particularly emphasize the significance of the manner in which patients describe their perceptions of the pain, which is a valuable diagnostic sign. A follow-up study of patients for 3 to 21 years after the first interview demonstrated the releative efficiency of the various forms of treatment. A discussion of the therapeutic possibilities and their limitations follows.