Ninety cases of vertigo, which consisted of thirty-eight males and fifty-two females, were studied neuro-otologicaly and psychosomatically. These cases showed inconsistent results in equibrium function test and were treated at vertigo clinic and psychosomatic clinic in the department of otorhinolaryngology of the Jikei University School of Medicine. Forty-two cases were neurologicaly normal but other forty-eight cases were neurologicaly abnormal. Psychogenic factors infl uencing on vertigo were found in fifty-seven cases but in other thirty-three cases, not found.
In the female cases psychogenic factors had larger influence on their onset of vertigo than that of males. In males their psychogenic factors were mainly based on their business, but in females psychogenic factors were mainly based on their family problem. This showed the social role of females in Japan: the number of Japanese females working are less than that of males. Forty cases with vertigo but without neurootologic findings were classified into the following categories.
1. Although vertigo was originally present at the beginning of vertigo, it disappeared by time of examination, leaving the patients only with psychosomatic disorders.
2. The vertigo was psychogenic in origin, and included anxiety neurosis, hysteria and other psychogenic disease.
3. The vertigo was attributable autonomic nerve disturbance. Vertegnous patlents with psychogeinic factors influencing on vertigo were classified into as follows.
1. Vertigo superimposed in patients with psychogenic factors.
2. Vertigenous disease produced mental stress and distubance in their normal life, which lead to psychogenic factors. But the existence of psychogenic factors had no significant relationship with psychosomatic medical condition except for psychosomatic disease.
Patients with A and C type of Yatabe-Guiluford Test did not have tendency to be influenced mentally by vertigo and psychogenic factors. As in the patients with equilibrium disorders, such as inner ear disturbance, psychosomatic disorders were found, it was pointed out that they had possibility to be caught by psychogenic disorders at same time. Psychosomatic care was required in treatment of vertigo. The importance of neuro-otlogic and psychosomatic care is required when rehabilitation for vertlgo is applied.
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