User talk:Ativas

Hi Ativas,

You may have noticed that I have edited your addition to the entry on SCDS. This is because I felt that some of your comments were misleading, if not indeed inaccurate and seemed to be based on a limited number of case histories.

1. Not everyone with SCDS experiences sound-induced imbalance even many years after the onset of the illness.

2. Many patients experience autophony, chronic vertigo, ear fullness, or loss of hearing as the first, and most serious symptom and not Tullio, as you suggest.

3. The presence of Tullio phenomenon does NOT clearly distinguish SCDS from Ménière's, as you suggest. Unfortunately it's not as simple as that. Tullio can result from a barotrauma, (e.g. diving accident) and can also be one of the side effects of fenestration surgery, syphilis or Lyme disease. Some patients indeed suffer from both conditons (SCDS & Ménière's) concurrently, so the presence of Tullio cannot be relied upon to eliminate Ménière's.

I hope you can accept these changes. Adrianocorno (talk) 18:58, 25 February 2008 (UTC)