前庭機能異常を示した患者の圧受容器反射と性格検査 (前庭機能異常の研究-2-<特集>)

概要

論文の詳細を見る
Autonomic nervous function test and personality study were performed on 85 vertigo patients (25 Meniere's disease, 25 peripheral vertigo, 4 vertebulobasilar insufficiency, 14 other central vertigo, 17 other types of vertigo). As the index of autonomic function, sensitivity of the baroreflex to blood pressure change was investigated. For this purpose phenylephrine was injected intravenously and trinitroglycerin was administered subglottically. CMI and Y-G tests were used for studying a personality. The patients with Meniere's disease especially on the vertigo attack, showed high sensitivity in baroreflex activity when trinitroglycerin was used to reduce blood pressure. We considered it a sympathicotonic state. Also major population of Meniere patients were classified into abnormal types in Y-G and/or CMI tests i. e. nervousness and instability, compared with the other entities of patient groups. These results suggest that vertigo attack may be occurred basing on the autonomic dysfunction, which also has some relation with specific personality.
耳鼻咽喉科臨床学会の論文