Drug ototoxicity.
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Normal values of the caloric test are reported in 202 healthy subjects; besides the absolute values, these comprise the degree of side-difference of excitability and of directional preponderence in percent of the total reaction. In addition to mean values with standard deviations, the median values and the interquantile areas 80, 90, 94 and 100% have been reproduced in tabular form, because, according to statistical calculations, there is no normal distribution of the values in the strict sense. The problematic nature of borderline values for the separation of physiological from pathological responses is discussed in detail. In vieu of the considerable scattering, a knowledge of normal distribution areas appears to be absolutely necessary for an accurate evaluation of the caloric test in patients.
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The circumstances prevalent in each particular line of work must be taken into consideration when examining for occupational disability. Peripheral vestibular disorders can be a source of danger to the patient himself and to those in his working environment, e.g. in traffic or on building sites. Some criteria for judgement on incapacity as related to the most important peripheral disorders are proposed. A further problem involves those cases with complaints of vertigo but whose responses to clinical testing appear normal. Such patients require a clear decision as to whether they are to be classified as occupationally disabled.
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