tullio phenomenon
The Tullio phenomenon describes the precipitation of vertigo and nystagmus by a loud noise.
Pathology
Etiology
The tympanic membrane and ossicular chain must be intact with a mobile footplate. It may be seen in several situations:
- Ménière disease
- superior semicircular canal dehiscence syndrome
- perilymphatic fistula
- congenital syphilis with a semicircular canal fistula
- post-fenestration surgery if the footplate is mobile
History and etymology
First described in pigeons by Pietro Tullio (1881-1941) , Italian physiologist in 1929 .
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