めまい疾患の全身的検査--血液学的検査と血圧測定 (内藤儁教授退官記念論文集)

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Vertigo is closely related not only with central nerve disorders but with peripheral, circulatory and autonomous nerve disorders and such general disorders. We, therefore, conducted hematological examinations and hemadynamometric measurement at the time of change of bodily position on patients of vertigo in order to see if the hematological and hemadynamometric factors can be predispositions for vertigo. The subjects were the patients with established diagnosis of Meniere's disease, or suspected of Meniere's disease, or had vertigo accompanying cerebro-circulatory disturbances, or of vertigo unknown origin who visited Nara Prefectural Medical College's Otolaryngological Department in the period covering April 1978 through October 1979. For control, normal individuals and patients of sensorineural deafness were selected. The results of the above tests were compared between the group of vertigo and the group of having no vertigo, and the possible predispositions were compared between the time having vertigo and the time not having vertigo in order to determine if those could be factors for causing the disease. The results were as follows.1. Of all the items of hematological examination, total cholesterol, neutral fats, free fatty acids could be considered as predispositions for vertigo particularly in the cases of cerebro-circulatory disturbances. It was also considered that total cholesterol, free fatty acids, HDL and blood platelet aggregation were possibly the factors to cause vertigo.2. In hemadynamometry, the fluctuations of the mean arterial pressure and of the pulse pressure at change of bodily position were great in the cases of Meniere's disease while those in the cases of cerebro-circulatory disorders were small. Also in the patients having vertigo, decline of pulse pressure and differences of mean arterial blood pressure and pulse pressure between the right and left were observed. However, the hemadynamometric examination of this time did not differentiate critical factors of vertigo from predispositions.
耳鼻咽喉科臨床学会の論文

めまい疾患の全身的検査--血液学的検査と血圧測定 (内藤儁教授退官記念論文集)

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