耳鳴のない難聴者と難聴のない耳鳴者
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概要
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We are generally impressed that tinnitus is accompanied and runs parallel with deafness. And we also are concerned in the fact that there are some who are deaf without tinnitus and some who have tinnitus without deafness. If tinnitus and deafness occur from different mechanisms, these facts are not incoherent. But if tinnitus and deafness occur from one and same mechanism, is not it strange that there are some exceptional cases observed? Such a contradiction that some patients suffer from deafness without tinnitus caused in the same mechanism can be solved only by thinking that it is due to the psychological reason.<BR>We examined with Cornell Medical Index the next three groups: the first was a group of persons who had tinnitus and deafness (22 persons), the second were tinnitus-persons without deafness (7 persons), the third were deaf persons without tinnitus (32 persons).<BR>The results are as follows;<BR>1) Tinnitus-persons showed more neurotic tendency than normal persons. They were deeply concerned in their own health.<BR>2) The persons without tinnitus were comparatively indifferent to themselves physically and mentally. Many persons of this group, however, complained of fearful dreams. Such dreams, in our opinion, are the manifestation of tinnitus of which the patients are not concious.<BR>3) The tinnitus-persons without deafness show a strong tendency of depression.<BR>Conclusion: The existence of a group of persons who have deafness without tinnitus is not a contradiction even if tinnitus were caused in the same mechanism as deafness.
- 耳鼻と臨床会の論文