ABSTRACT

Vertigo is closely related to the pleasure in motion which is usually discussed in the psycho-analytical literature under the heading of 'equilibrium erotism'. At the age of 45 a married man, who despite lifelong neurotic difficulties had always enjoyed excellent physical health, began to suffer from attacks of vertigo, in which the world appeared to be rotating on a vertical plane in front of him. His physiological threshold for vertigo was undoubtedly unusually low, but vertigo-inducing stimuli produced only momentary giddiness if the psychological pre-conditions were lacking. The occurrence of the classical triad of symptoms, vertigo, deafness, and tinnitus in association with typical physical signs, led to a diagnosis of Meniere's Disease being made. There were several reasons for supposing that the vertigo at least was a physiological event, presumably due to central, psychic stimuli acting on a hyper-sensitive inner ear.