両側メニエ-ル病--症例と診断基準について (メニエ-ル病の研究-6-<特集>)

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Three cases of Meniere's disease are reported. Case 1, a 39-year-old man suffered from vertigo with right fluctuant hearing loss and tinnitus. After an interval of about 5 years, he experienced left fluctuant hearing loss and tinnitus with a vertigo attack. Case 2, a 51-year-old woman suffered from left Meniere's disease, and 5 years there-after was troubled with right fluctuant hearing loss and tinnitus with vertigo attack. Case 3, a 22-year-old woman developed sudden deafness on the right side without vertigo in the course of left Meniere's disease. Cases 1 and 2 were diagnosed as bilateral Meniere's disease.Generally the criteria for Meniere's disease are well-known, but those for bilateral Meniere's disease are not yet clear. We propose the following criteria of bilateral Meniere's disease.1) Unilateral Meniere's disease with contralateral fluctuant sensorineural hearing loss and tinnitus accompanied by vertigo is definite bilateral Meniere's disease.2) Unilateral Meniere's disease with contralateral fluctuant sensorineural hearing loss and tinnitus regardless of vertigo is suspected bilateral Meniere's disease.
耳鼻咽喉科臨床学会の論文