“…The illness suffered by the patient we have described-ataxia, mental disturbance, and deafness, with severe myxoedema-is typical. Deafness, either conductive, or more commonly perceptive (Barlow, 1922), is a common manifestation of hypothyroidism. In our patient, otoneurological tests showed bilateral perceptive deafness with complete loudness recruitment, indicating an abnormality in the end-organ rather than nerve.…”