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73 巻, 11special 号
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水越 鉄理, 黒田 京子, 渡辺 行雄, 大橋 直樹, 石川 和光, 山崎 晴子, 伊藤 享子1980 年 73 巻 11special 号 p. 1825-1831
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーIn most patients with bilateral Meniere's disease, there is a lapse of 10 years between the involvement of the first and the second ear (Greven & Oosterveld 1975). However, we encountered a 47 years old man with bilateral Meniere's disease, in whom the interval between the onset of the impairment in first the right ear and then left ear occurred after 24 years.
One of the most characteristic features in this patient was the alternatively see-saw fluctuation of the bilateral hearing impairment after the second involvement. In this characteristic fluctuation of hearing impairment, the unilateral hearingloss improves while the contralateral worsens at the same episode, resembling the action of see-saw. These fluctuations in hearing impairment were observed during the glycerol test, and after endolymphatic sac surgery. Therefore, we assumed that the alternative fluctuation of bilateral hearing impairments could be one of the events of bilateral Meniere's disease, caused by passing osmolarity disorders in the right and the left ear, alternatively.抄録全体を表示PDF形式でダウンロード (813K) -
石井 哲夫, 鳥山 稔, 鈴木 淳一1980 年 73 巻 11special 号 p. 1832-1841
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリー5症例の内リンパ虚脱を示した側頭骨病理組織と生前の聴力検査図を比較した. 内リンパ虚脱は種々の程度があったが, 蝸牛・球形嚢の範囲に限られていた. 虚脱による聴力の低下は虚脱自体よりもコルチ器の変性や蓋膜の変位により大きく左右される. 想定される内耳疾患はウイルス性迷路炎が1例, 原因不明の迷路炎1例, 他3例は原因不明であった. 何らかの内耳病変により内耳液とくに内リンパ調節機構の破綻を生じたために内リンパ虚脱が生じたものと推測した.抄録全体を表示PDF形式でダウンロード (8240K) -
森 望, 松永 喬1980 年 73 巻 11special 号 p. 1842-1847
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーA case of bilateral Meniere's disease was investigated by extratympanic electrocochleography both during a period of impaired hearing and during a period of fairly good hearing.
After a vertiginous attack, conventional audiometry showed progression of the hearing loss in the right ear, while the hearing loss in the left ear remained unchanged.
In the right ear, the significant changes in electrocochleographic findings after the attack were elevation of the AP response shreshold, the prolongation of N1 latency, and an increase in the SP/AP ratio.
In the left ear, N1 latency had been prolonged, the AP waveform was broad, no SP component was detected, and there were no significant changes in the electrocochleographic findings.
Clinical evaluations of changes in the electrocochleographic findings after a vertiginous attack were discussed.抄録全体を表示PDF形式でダウンロード (437K) -
松永 喬, 荻野 仁, 田上 悦子, 佐野 光仁, 奥村 新一, 松永 亨, 内藤 儁1980 年 73 巻 11special 号 p. 1848-1855
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリー大阪大学耳鼻咽喉科で行ったメニエール病に対する subarachnoid shunt operation (山川, 内藤法第1法, 第2法) の手術後経過について, アンケート調査を行った結果を報告した.
1951年から1956年までの5年間に行った手術症例の20年後の術後経過 (1971年6月集計) では, 回答を得た3例中, めまいの消失は2例, 軽快 (時々めまいがある) は1例, 耳鳴の軽快は2例, 不変は1例, 難聴の改善は1例, 不変は2例であった. 約30年後の術後経過 (1979年2月集計) では, 回答を得た2例は, 1例の難聴の悪化を除いて, 1971年の集計と同じであった.
1971年から1977年までの6年間に行った手術症例の回答を得た13例中の3年ないし8年間の術後経過では, めまいの全くの消失は4例, 改善は6年, 軽快は3例で, 悪化, 不変は1例もなく, 少くとも手術を行えば, 何等かのめまいの改善が認められた. 難聴の改善は2例, 不変は8例, 悪化は3例であった. 耳鳴の軽快は4例, 不変は8例, 悪化は1例であった. 全例共手術してよかったと回答した.抄録全体を表示PDF形式でダウンロード (776K) -
奥村 新一, 松永 喬, 内藤 儁1980 年 73 巻 11special 号 p. 1856-1860
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーWe applied the Furosemide test using pendular rotation stimuli to the patients with Ménière's disease for the purpose of diagnosis of endolymphatic hydrops. In patients with probable Ménière's disease, after the administration of Furosemide in doses of 20mg intravenously, the DP index of the pendular rotation test improved to within normal ranges, as a result of prompt diuretic activity.
In this report, we evaluated 4 patients with Ménière's disease who have been given the Furosemide test before and after the endolymphatic shunt operation. Three of 4 patients with Ménière's disease showed a positive Furosemide test while the other patient showed a negative Furosemide test, before the operation. The surgery was the endolymphatic shunt operation, by Naito's 2nd method. After the operation, the Furosemide test was again performed in the 4 patients. The results were all negative. In patients with a positive Furosemied test before the operation, the prognosis of the disease was good and they had no further attacks of vertigo. In the other patient with negative test results before the operation, episodes of vertigo persisted.
Thus, it is considered that a positive Furosemide test can be used as a diagnostic as well as a prognostic tool and also may be used to determine indications for surgery.抄録全体を表示PDF形式でダウンロード (475K) -
佐野 光仁, 松永 喬, 水津 百合子, 荻野 仁, 松永 亨, 内藤 儁1980 年 73 巻 11special 号 p. 1861-1865
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリー1. 阪大, 関労におけるメ病の6年間の調査結果を報告した.
2. 3年以上の群では約60%にめまいが消失したのでメ病のめまい経過は3年間の経過観察が必要と考えた.
3. 耳鳴, 難聴は変化なしと回答した割合が各群で大半を占めた. 難聴は経過とともに増悪する割合が増加した.
4. 嘔気, 嘔吐は早期に落ちつくが, 音過敏性頭痛, 頭重, 倦怠感は長期的に持続した.抄録全体を表示PDF形式でダウンロード (516K) -
深谷 卓, 小松崎 篤1980 年 73 巻 11special 号 p. 1866-1873
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーElectrocochleography (ECOG) reflects the functional state of the cochlea, and can be used as a tool of clinical otology. It is thus valuable when making a diagnosis of the different pathological conditions which affect the cochlea.
In the present series, 16 ears in patients with Meniere's disease were examined by ECOG. As a control, 6 normal hearing ears and 10 high tone loss ears also served as subjects. Short tone bursts were used as stimuli, and the trans-tympanic recording method was used.
Main findings in the case of Meniere's disease are summarized as follows.
(1) The N1 thresholds were similar to the subjective ones.
(2) The waveforms of the AP-SP potentials recorded in Meniere's cases were broad.
(3) Both in Meniere's ears and high tone loss ears, a positive summating potential (SP+) was recorded when using high frequency tone bursts.
(4) In the ears of those with Meniere's disease, the large negative summating potential (SP-) was obvious for low frequency tone bursts.
(5) In the fluctuant stage of hearing loss, the negative summating potential (SP-) amplitude related to the attack of Meniere's disease, but not to the degree of hearing loss.
(6) In those with Meniere's disease, the input-output curves of N1 amplitude were rather steep compared to normal ears, and a steep slope thus was indicative of a positive recruitment.
(7) In the late stage of Meniere's disease, the difference between those with the disease and those with a high tone loss was not evident using ECOG.抄録全体を表示PDF形式でダウンロード (790K) -
朴沢 二郎, 斎藤 久樹, 鈴木 史人, 袴田 真理子, 袴田 勝, 高木 明子, 永井 政男1980 年 73 巻 11special 号 p. 1874-1878
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーTwenty-three patients with Meniere's disease were divided into two groups from results of the skin test, using 34 sorts of food allergens. Ten were positive group (Group P) and the other 13 were negative (Group N). The difference between group P and group N was not evident in serum immunological tests. However, it was interesting that the type of fluctuating hearing loss was seen more frequently in group P than group N.抄録全体を表示PDF形式でダウンロード (524K) -
田口 喜一郎1980 年 73 巻 11special 号 p. 1879-1892
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーメニエール病患者20名を対象として, 等速視運動刺激の重心動揺におよぼす影響について. 小型コンピュータを使用して分析し, 次の成績を得た.
1 重心動揺軌跡
メニエール病患者の視運動刺激による軌跡型として3型が得られた. すなわち求心型. 左右動揺型および前後動揺型である. 両側メニエール病は前後動揺型を示した.
2 重心動揺軌跡距離
2分間起立時の重心動揺軌跡距離は, 視運動刺激の負荷により増大するが. 視運動刺激の速度との関係は, 前後動揺型を除いて. やや不規則であった.
3 重心動揺のY軸・X軸成分比
求心型および左右動揺型では, 水平方向刺激で1.0より小さな値を示し, 垂直方向刺激で1.0より大きな値を示したが, 前後動揺型では水平. 垂直方向刺激共にこの値の増大をみた.
4 重心位置の変動
重心位置の変動様式は, 軌跡型によって大きな差を示し, 正常者にみられる標準2相性移動を示すものは少なかった.
5 重心動揺周波数
重心動揺周波数スペクトルは, 視運動揺激によって1Hz以下で主要な変動を示した. てれを1Hz以下の平均周波数として表示すると. X軸成分では求心型で増大, 左右動揺型で減少を示し, 前後動揺型で無変動であった. Y軸成分では求心型で垂直方向刺激で増大, 左右動揺型で左刺激で減少, また前後動揺型で全方向刺激に対して減少傾向を示した.抄録全体を表示PDF形式でダウンロード (1179K) -
田口 喜一郎, 菊川 正人, 桧垣 清高, 中野 知幸1980 年 73 巻 11special 号 p. 1893-1898
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーIt is most difficult to evaluate the prognosis of patients with Ménière's disease. We estimated the relationship between the activity of the disease and the caloric nystagmic response by reviewing long-term follow-up observation on these patients.
Sixty-four patients aged 15 to 56 at the onset of the disease were investigated. The items for investigation were frequency of attack, spontaneous or positional nystagmus, caloric nystagmus, postrotatory nystagmus, hearing impairment, blood pressure (including the Schellong's test), treatment received and so on.
The following conclusions were obtained.
1. Estimation of the prognosis cannot be made at the first examination of the patient.
2. The attacks occurred most frequently in the patients who tended to show DP in the caloric nystagmic response, over a long period of time.
3. There were some in whom the caloric nystagmic response changed from DP to CP after a short time, or in whom there was no caloric difference between the left and right ears after a short period with caloric DP.抄録全体を表示PDF形式でダウンロード (572K) -
中江 公裕, 小松崎 篤1980 年 73 巻 11special 号 p. 1899-1906
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーA case-control study of Meniere's disease was made on the pationts with otolaryngological disturbances in Tokyo University Hospital. 14.6 percent of Meniere's disease patients had hypotonia at the time of attack and the percent was significantly higher than 6-8 percent of the control patients.
Mental and/or physical strain, irritation, trouble, lack of sleep and some foods strongy contributed to occurrence of Meniere's disease, although ear-splitting noise, smoking and menstruation had mild effects. As for a sense of tasts, Meniere's disease patients were a little more fond of a sour taste than the control patients.
Meniere's disease patients more raised cats than the control patients. There was no difference between both groups regarding history of occupation, medical history, urban and rural factors and complications, except for hypotonia.
Those with long period of attack suspension (long period group) had a higher sex ratio than those with a short period of attack suspension (short period group). In the short period group there was a higher frequency of disturbance of the circulatory system (i. e. arteriosclerosis, hypertension, hypotonia, cerebrovascular disease, heart and/or vascular disease).
The short period group had more raised small birds as pets than the long period group
Monthly occurrence of Meniere's disease showed an increase in spring (March-May) and in autumn (August-October).
Average age of onset of Meniere's disease had annually increased.抄録全体を表示PDF形式でダウンロード (873K) -
徳増 厚二, 川野 六郎, 田代 直樹, 五島 一吉, 広瀬 陽子, 岡本 牧人1980 年 73 巻 11special 号 p. 1907-1913
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーThe threshold of hearing were investigated by repeated audiometries in the cases of Meniere's disease, who were treated mostly medicinally. The test subjects were 38 patients including 8 bilateral cases. Mean period for follow-up-study was over one year. Audiograms obtained in both the first and the final test and in both the most improved and the most worsened stage were compared. The results, which were confirmed statistically are as follows:
In unilateral cases, the mean value of the threshold of hearing in 8000Hz was higher than in 500Hz and the gain of improved hearing in 500Hz was 16.7dB in the best hearing stage. The difference of thresholds in 500Hz between in the best and the worst stage was 27.5dB in unilateral cases.
The threshold in 8000Hz in the worst stage was higher in bilateral cases than in unilateral.抄録全体を表示PDF形式でダウンロード (669K) -
3年間の経験菊池 尚子, 代田 文彦, 藤多 恒子, 杉山 順子, 上村 卓也1980 年 73 巻 11special 号 p. 1914-1918
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーMeniere's disease patients unresponsive to medical treatment underwent 10-15 regular 20 minute sessions of acupuncture during a three year period. The results in 23 patients with repeated attacks of vertigo were followed over ten times the maximum interval between attacks before treatment. In cases of reoccurrence, the frequency and magnitude of attacks before and after the treatment were compared. The therapy was effective in nine. Of the remaining fourteen, eleven underwent additional acupuncture treatment which was effective in six. Thus, the overall result was favorable in fifteen (65%). Among these patients tinnitus in 25% and hearing in 13% improved.抄録全体を表示PDF形式でダウンロード (611K) -
牧 達夫, 時田 喬, 宮田 英雄, 斎藤 富康, 橋本 正彦, 前田 正徳1980 年 73 巻 11special 号 p. 1919-1926
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーCase histories of patients with Meniere's disease were studied regarding character, duration, intensity of vertigo and length of the intervals of occurrence. The purpose of this study was to demonstrate of natural course of Meniere's disease and obtain criteria for the improvement of recurrence of vertiginous attacks by medical treatment, as distinct from spontaneous relief, following the natural course of the disease.
Forty patients diagnosed as having Meniere's disease were included in the study. The diagnosis was based on the criteria of diagnosis of Meniere's disease by Tokita et al. (1967).
During examinations of the natural course of Meniere's disease, the following types were observed.
(1) In 6 cases, a definitive spell appeared repeatedly in the same season once or twice every year.
(2) In 4 cases, a definitive severe spell with long intervals changed to a slight spell.
(3) In 5, there was a gradual decrease of recurrence of vertiginous attacks, with time.
(4) In 12, burst of spell occurred continuously from the time of onset.
(5) In 5, repetition of single definitive spell and burst of spell appeared with irregular alternation.
(6) In 2, Lermoyez's disease was finally diagnosed as Meniere's disease.
(7) There were two with a sudden deafness at onset.
(8) Nine experienced vertigo induced by transient ischemic attacks or orthostatic dysregulation before the onset of Meniere's disease.
The natural course of Meniere's disease varied with the individual. The longest period without attack of vertigo by spontaneous relief following natural course of the disease was from 1 month to 8 years. Thus, it was most difficult to determine the improvement of vertigo by medical treatment, as distinct from spontaneous relief. For determination of the improvement of vertigo by medical effects, abscence of a spell for 10 times the average interval before treatment (criteria by American Academy of Ophthalmology and Otology) and for 3 times of the longest period without attack of vertigo before treatment are required.抄録全体を表示PDF形式でダウンロード (599K) -
斎藤 富康, 時田 喬, 宮田 英雄, 牧 達夫, 橋本 正彦, 前田 正徳1980 年 73 巻 11special 号 p. 1927-1935
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーTo clarify predisposing factors that constitute disturbances in the labyrinth in cases of Meniere's disease, examination was conducted to probe into the loading equilibrium test as well as internal and laboratory examinations. Since such are insufficient to explain what constitutes the disturbance of the labyrinth, attempts were made to investigate local factors.
For this purpose, a list of predisposing factors leading to labyrinthine disturbances was madeout to investigate (I) general matters, (II) factors inducing vertigo, (III) past and present history of diseases (for general factor examination). Furthermore, for the purpose of tracking down local factors, investigations were made about (IV) the surrounding disease, (V) hereditary factors and (VI) the presence of any abnormality in the ear that lead one to assume the existence of local factors.
In the survey of 58 cases of Meniere's disease, the local factor examination showed the following results: Nine cases (15.5%) had otitis media, eight (13.8%) complained frequently of a feeling of fullness in the ear, 18 (31.0%) have been hard of hearing for some, 19 (32.8%) have had a tinnitus for some time, 17 (29.3%) had habitual headaches, one (1.7%) facial paralysis, 11 (19.0%) past injuries to the head and neck, and 21 (36.2%) stiff shoulders.
As for headaches, vascular headaches accounted for six, muscle contracting headaches six, association headaches three, and unknown origin two. Regarding the hard of hearing, many cases coincided with the affected side of Meniere's disease, while the side diseased by otitis media did not correspond with the side affected by Meniere's disease.抄録全体を表示PDF形式でダウンロード (829K) -
亀山 正邦, 塩 栄夫, 大槻 雄三, 宮田 学1980 年 73 巻 11special 号 p. 1936-1940
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーADP-induced platelet aggregation was examined in patients with a history of ischemic cerebral vascular disease (CVD). When a threshold concentration of ADP for production of the secondary platelet aggregation was taken as a marker of platelet function, no remarkable difference was observed between CVD patients and control subjects. However, when thrombosis of perforating arteries diagnosed from computotomography findings was compared with that of main trunks of cerebral arteries, enhanced platelet aggregation was noted in the patients of perforating artery occulsion. The role of platelet aggregability in thrombogenesis thus seems to be manifested more readily in this type of vessel branching. As previously reported, platelet aggregation is remarkably enhanced in the presence of red blood cells. Our results also suggested that higher platelet aggregability might be compensated for by a lower hematocrit value.
β-Thromboglobulin (βTG), a new indicator of intravascular platelet activation, was determined in plasma of CVD patients but no increase was observed in the chronic phase after the attack. In patients with Ménière's disease, the BTG level was elevated during the attack, but was within normal range in the intermittent periods.抄録全体を表示PDF形式でダウンロード (510K) -
亀山 正邦, 宮田 学, 塩 栄夫1980 年 73 巻 11special 号 p. 1941-1948
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーSerum dopamine-β-hydroxylase (DBH) activities were examined in 110 patients complaining of dizziness or vertigo. The enzyme was measured by the photometric assay method of Nagatsu and Udenfriend.
The mean serum DBH activity of 17 patients was 16.1±8.3 units and there was no significant difference from findings in the normal controls (18.2±6.7 units).
Dizziness and vertigo were often complained of by patients with cerebrovascular diseases, particularly thrombosis of the posterior cerebral artery or vertebro-basilar insufficiency, as well as other neurological diseases such as spino-cerebellar degeneration, normal pressure hydrocephalus, cerebellar hemorrhage, cerebellar tumor, Parkinson's disease, essential tremor, amyotrophic lateral sclerosis etc.
Computed tomography (CT) of the brain was performed on 71 patients. Serum DBH activities in the patients with normal CT scan findings exhibited no significant change, while activities in patients with CT findings of cerebral atrophy, cerebellopontine atrophy and localized low density areas exhibited comparatively low values.
In the dysautonomic patients with dizziness or vertigo, the serum DBH activities exhibited wide varieties, but there were 5 with values under 5 units.
No significant change was seen on the enzyme activity during attacks of vertigo or after the caloric test, in the same individual.抄録全体を表示PDF形式でダウンロード (892K) -
安田 宏一, 北島 敦子1980 年 73 巻 11special 号 p. 1949-1954
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーThere are patients who complain of a feeling of fullness in the ear and earache suggestive of acute tubotympanic catarrh or otitis media but in whom the tympanic membranes are entirely free from abnormalities and the Eustachian tubes show no evidence of obstruction on inflation by the eustachian catheter. These patients may show spontaneous nystagmus and deviations of labyrinthine origin on equilibrium tests, evidence of inner ear injury, but nevertheless they say they have never had an attack of vertigo. Audiometric tests reveal a 20 to 40dB elevation of the threshold in low frequency ranges and the hearing loss is not always of the sensorineural type.
We encountered 25 patients with such symptoms during the 1-year period from September 1, 1977 to August 31, 1978. None of these patients had a history of trauma, drug therapy or fever that might have an etiologic relation with the disorder. Many affirmed the presence of stress as a precipitating cause in their past history, while some reported the occurrence of symptoms in repeated episodes. These findings led us to assume that the condition before us, even though lacking in vertigo, is none other than Meniere's disease.
For these patients we prescribed rest, oral steroids and intravenous xylocaine. After 10-14 days of this combined regimen the patients were free from subjective symptoms (a feeling of fullness and otalgia), abnormalities on equilibrium tests (nystagmus and deviation) and perceptive deafness.
Williams advocated the concept of “endolymphatic hydrops without vertigo” and stated that when the process of Meniere's disease is confined to the cochlea. Vestibular symptoms, notably vertigo, may not appear. In our present series, however, the abnormalities on equilibrium tests clearly indicated the presence of a disturbance in the vestibular segment of the labyrinth, and the disease entity in these cases is therefore quite distinct from the one which was designated as “endolymphatic hydrops without vertigo” by Williams. When a patient has no vertiginous attacks in the presence of a lesion in the vestibular segment of the end-organ, the cause of such a failure to develop vertigo must be sought from the psychological aspect.
A psychological test using the Cornell medical index demonstrated that the patients in our present series showed a lesser tendency to neurosis than did Meniere's disease patients in general. This finding may be interpreted as indicating that Meniere's disease patients without vertigo are relatively insensitive to somatic distress, including vertigo.抄録全体を表示PDF形式でダウンロード (642K) -
山崎 勤, 渡辺 幸枝, 小崎 秀夫, 阿部 隆夫, 山本 一男, 酒井 昇, 山川 宗位, 松島 純一, 柳井 統1980 年 73 巻 11special 号 p. 1955-1964
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーThe records of 22 patients with unilateral or bilateral sensorineural hearing loss of unknown etiology who had recurrent vertigo and were seen at Sapporo General Hospital between 1974 and 1979 were studied. As a result, they were classified in following four groups:
The first group included patients with recurrent vertigo with fluctuating hearing loss and tinnitus, and the causes of vertigo or deafness were attributed to abnormality of the vestibular aqueduct or endolymphatic sac, measles virus and otitis media. In two patients with endolymphatic hydrops caused by otitis media, progressive hydrops (Shuknecht, 1976) was demonstrated by the glycerol test and by clinical findings. (Paparella. 1979)
The second group included patients of recurrent vertigo without fluctuating hearing loss and tinnitus, and the etiology of vertigo or deafness was sepeculated to be associated with virus related mumps.
The third group included two patients with endolymphatic hydrops as demonstrated by the glycerol test after sudden sensorineural deafness and vestibular paralysis, the etiology of which was presumed to be vasular lesions, those similar to vertigo of delayed onset after sudden deafness (Nadol, 1975), but in some patients were considered to be caused by viral infection. We observed one patient after sudden sensorineural imparment and vestibular disorders who had recurrent attacks of vertigo with fluctuating hearing loss and and tinnitus, in relation to an allergic disposition.抄録全体を表示PDF形式でダウンロード (1165K) -
山崎 勤, 渡辺 幸枝, 小崎 秀夫, 阿部 隆夫, 山本 一男, 酒井 昇, 山川 宗位, 松島 純一, 柳井 統1980 年 73 巻 11special 号 p. 1965-1970
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーRecently, we encountered three patients in whom episodic vertigo and fluctuating deafness was associated with cerbellopontine-angle tumors or an acoustic tumor.
We wish to emphasize the association between Ménière's disease and cerebello-pontine-angle tumors or acoustic neurinoma by describing the case history of three patients who presented complaints of fluctuating hearing loss and recurrent vertigo.抄録全体を表示PDF形式でダウンロード (2909K) -
高安 劭次, 香取 早苗, 熱田 一信1980 年 73 巻 11special 号 p. 1971-1980
発行日: 1980/11/15
公開日: 2011/11/04
ジャーナル フリーBoth the Cornell Medical Index test and the Maudsley Personality Inventory test were administered to 150 vertiginous patients who were 54 with Meniere's disease and 96 with the cervicogenic acoustico-equilibrium disorder or the orthostatic disregulation as the control, due to verify what personality elements are specific in Meniere's disease and due to determine whether each disorder of control might be categorized as independent from Meniere's disease or must involve into it as the background factors.
In the Maudsley Personality Inventory, the patients with Meniere's disease had a fundamental character of moderate extraversion and low neuroticism that is manifested as E0N- category, while the patients of the control had commonly a character of moderate extraversion and moderate neuroticism categorized as E0N0.
Further difference was found between them in the Cornell Medical Index. The former character was divided into some subtypes according to various psychosomatic conditions without neurosis while the latter was superimposed with various grade of neurosis which had gradually grown up in proportion to the period affected by vertigo.
These observations confirmed in our viewpoint that the Meniere's disease and the two diseases of the control should be in the different category each other.抄録全体を表示PDF形式でダウンロード (1104K)
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