メニエル症候型迷路梅毒の臨床的観察

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The authors reported 11 cases of labyrinthine syphilis, the clinical picture of them was suggestive of Meniere's syndrome. Among them, 6 cases were considered as congenital and 5 cases as aquired syphilis. Serological reactions of syphilis were positive in all cases. 8 cases had the histories of syphilitic ocular fness of moderate or severe degree (average hearing loss in the middle tone reange was 35 to 65db). Spontaneous nystagmus of peripheral type were rmal and rotatoacceleratory stimuli were decreased bilateraly. In 8 cases with repeated paroxysmal rotatory ped irreversibly at every attack. In 3 cases without rotatory vertigo, however, showed chronic ataxia and unsteadiness and these symptoms gradually improved during the course of several months. general therapeutic methods of Meniere's syndrome were also performed. Among them, xylocaine blocking of the stellate ganglion, injection of large use of bellergal were relatively effective. lations between thess cases and Meniers's disease were discussed. In conclusion, the authors emphasized, when a otologist meets with such case of Meniers's syndrome of irregular irreversible type, he must give his mind to labyrinthine syphilis and carry out the specific serological examination.
一般社団法人日本耳鼻咽喉科学会の論文