Menière論文と19世紀の反応

―第五編：病名の起源と混乱―

抄録

Following Menière’s report of a peculiar type of deafness accompanied with manifold symptoms such as tinnitus, vertigo, nausea and unstable gait, countless nomenclatures evolved from both the otologists and neurologists. These included as follows; “Peculiar type of the lesion in the inner ear”, “Aural lesion of Menière’s type”, “Apoplectic type of hearing loss” and “vertigo ab aure loesa”, just to mention a few. It was Simon Duplay who recognized the aural lesion of Menière as a nosological entity and termed it “Menière’s disease” in 1872, but his definition was acute labyrinthitis which corresponds to Menière’s disease without the firm evidence of labyrinthitis. Thereafter the terms, “Vertigo of Menière”, “Menière’s symptoms”, “Symtom complex of Menière”, “Idiopathic type of Menière’s disease”, “Secondary type of Menière’s disease”, and “Menière’s syndrome” followed with supplementary comments. At the end of the 19th century, Menière’s disease tended to be divided into two groups; Menière’s disease in the narrow sense and Menière’s syndrome in the wider and broader sense.