「めまい」疾患の診断

「めまい」をきたす疾患の診断名, 疾患分類, 診断基準に関する検討

抄録

The author pointed a trend in which diagnosis of Meniere's disease too oftenly and improperly applied, before a careful evaluation was being made for other conditions than Menierere's disease, to those patients whose chief complaint was characterized by vertigenous attack. It was proposed the diagnosis of Meniere's disease could only be adequately made when following conditions were combinedly confirmed;
1. vertigenous attack was repetitive, 2. the attack was associated with other auditory symptoms such as impaired hearing, tinnitus, filling sensation, 3. sensorineural hearing loss was confirmed, 4. no other causuative disease could be considerable and 5. no cranial nerve involved except the eigth nerve.
The author described that following points should be checked carefully when dealing with patients with vertigo: whether or not 1) vertigo is associated with auditory symtoms, 2) vertigenous attack is repetitive, 3) inner ear symptoms is accompanied, 4) any spontaneous nystagmus that may due to central nervous origin is present.