突発性難聴のめまいに対するステロイド療法の臨床効果

概要

論文の詳細を見る
In 68 patients with sudden deafness treated with steroids and five patients received no steroids, symptoms disappeared in the following order : 1) sensation of whirling, 2) gaze nystagmus, 3) positional nystagmus, and 4) dizziness and head-shaking nystagmus.<BR>Group A patients were given steroids only, group B patients received steroids and anti-vertigo drugs. In group A, the sensation of whirling disappeared 2.0 days after the start of treatment, gaze nystagmus 5.0 days, positional nystagmus 10.8 days, dizziness 23.4 days, and head-shaking nystagmus 23.3 days. In group B, the sensation of whirling disappeared 5.5 days, gaze nystagmus 4.1 days, positional nystagmus 6.8 days, dizziness 20.5 days, and head-shaking nystagmus 19.8 days. These differences between the two groups are not significantly different, although group B patients had more severe symptoms than group A patients. Positional nystagmus and head-shaking nystagmus tests were useful in assessing the effect of steroids on vertigo caused by sudden deafness. The sensations of vertigo varied considerably among the patients.
日本めまい平衡医学会の論文