両側変動難聴性メニエ-ル病

概要

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This article is based on a review of the literature on bilaterality of Meniere's disease. On the basis of the results of our study using the same diagnostic criteria of bilateral involvement of Meniere's disease, the clinical characteristics of Meniere's disease with bilateral fluctuant hearing loss were examined. In this series of patients 204 had normal hearing in the contralateral ear (unilateral cases) and 135 had fluctuant cochlear symptoms in the other ear (bilateral involvement). The latter group had a high degrees of hearing loss, cluster attacks, evolvement from vertigo to continuous dizziness and disruption of daily life. In addition we found that bilateral cases responded poorly to therapy with diuretics, steroids or hospitalization. Thus, early diagnosis of the bilaterality of the disease and intensive treatment such as sac operation or drug therapy is necessary. It is the obligation of ENT specialists to clarify the pathophysiology of the disease, to understand the importance of its development in the second ear, and to perform preventive therapy.
耳鼻咽喉科臨床学会の論文