Barré-Lieou syndrome and the problem of the obsolete eponym

J Laryngol Otol. 2007 Jul;121(7):680-3. doi: 10.1017/S002221510600346X. Epub 2006 Oct 19.

Abstract

Background: Eponym lists in major sources can give an aura of legitimacy to discredited diagnoses, as exemplified by the case of Barré-Lieou syndrome, a 'rare' vestibular disorder.

Methods: A literature review for information on the posterior cervical syndrome of Barré-Lieou.

Results: Barré-Lieou syndrome includes very common symptoms--tinnitus, dizziness, and head or neck pain--attributed to ischaemia caused by cervical sympathetic nerve compression. Its original description brings together many unrelated disorders, and its causative mechanism has been discredited. However, it appears credulously in a number of eponym lists, and references to the syndrome are steadily increasing on the internet in general and on alternative medicine and legal profession websites in particular.

Conclusion: By inclusion in eponym lists, without a disclaimer, a syndrome can be given legitimacy before the general public. A syndrome, such as Barré-Lieou syndrome, that is useless to the medical profession can unfortunately prove to be very useful for litigants and disability claimants.

Publication types

  • Historical Article
  • Research Support, U.S. Gov't, P.H.S.
  • Review

MeSH terms

  • Cerebrovascular Disorders* / diagnosis
  • Cerebrovascular Disorders* / history
  • Diagnosis, Differential
  • Eponyms*
  • History, 19th Century
  • History, 20th Century
  • Humans
  • Spinal Osteophytosis* / diagnosis
  • Spinal Osteophytosis* / history
  • Sympathetic Nervous System*