メニエール氏病の平衡機能検査頭位変化による足踏検査を中心として

概要

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After the stepping test with eyes covered had been done according to the original method, i. e. with the head in normal upright position, the same procedure of stepping was repeated with the head prone, supine, inclined to the left and inclined to the right respectively.As exemplified by representative cases shown in figures, the majority of cases of Meniere's disease showed marked deviation in stepping in a certain constant direction and this phenomenon was apt to be especially marked when the head was inclined to the side of the impaired ear verified with tinnitus and difficulty of hearing. In cases which had positional vertigo subjectively but no manifest positional nystagmus objectively, the stepping test revealed the fact that the angle of deviation was largest and ataxia was seen during stepping when the head took such a position as could induce positional vertigo.By means of this new test, latent abnormality of the labyrinthine function in cases of Meniere's disease was manifested in higher incidence than the usual tests of vestibulo-spinal reaction.
一般社団法人日本耳鼻咽喉科学会の論文