メニエール病の病歴

抄録

The medical history of a patient plays an important role in diagnosing Meniere's disease. However, as the patient's history is usually restricted to what he can remember, it is often difficult to obtain a reliable picture of the first vertigeous attack and those that follow. Therefore, in order to determine the accurate course of Meniere's disease, we had the patient keep a diary after the first visit. From the comparison between the subjective symptoms found by using the diary and objective findings obtained by using the audiometer, vestibular function test, etc, we could check whether the patient's determination of symptoms was accurate or not. The following results were obtained.
1. The memory of the accurate vertigeous date with Meniere's disease was influenced by how long ago the attack occurred.
2. As to the history of Meniere's disease, not only the history based on the patient's memory but also the subjective symptoms recorded in the diary were unreliable.