Includes hyperacusis, autophony (own voice is loud), loud internal sounds from walking, heartbeat, even hair combing. Tullio – loud sounds trigger vertigo, jumpy eyes. P. McBRIDE, Contributions to the Pathology of the Internal Ear, 157. I would further add that the greatest possible care and gentle- ness should be employed, so as not to lacerate the membrana tym- pani, nor even the skin of the meatus, if possible. At the moment of pressure the lad felt a sharp pain and heard quite a loud cracking in his left ear, but there was no loss of consciousness nor confusion of intellect. In this condition the patient applied for relief in July of last year; it was found that the vertigo was increased or brought on by pressure upon the nape of the neck and vertex of the head, which were sensitive to touch, and that the resonance of her own voice, external noises, and also the sound of her own steps in walking, increased the subjective noises in both ears.