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典型的美尼尔氏病具有明显的三症状,但许多患者在初期常仅有无明显临床表现的单一耳蜗病变,可能经多年后才显示。遂有人将经过不典型的美尼尔氏病分为耳蜗型和前庭型。作者们企图能在发病的最早期确诊本病。根据Arenberg等(1977)实验性膜迷路积水、虽持续6周～4(1/2)月并未导致内耳有不可逆改变,困而提倡及早对美尼尔氏病进行治疗,不仅可预防出现进行性听力下降和反复发作性眩晕,而且也可预防对侧健耳受累(5年期内另耳受累率为33%)。作者们共检查了52名患者,男18、女34,年龄5～54岁。检查项目包括耳鼻咽喉科检查、详细的电测听及前庭功能检查。发现患者中20人(38.4%)仅有耳蜗表现,22人(42.3%)仅有前庭功能紊乱,10人(19.3%)有外周性耳蜗前庭表现(仅3人有典型三征),合计80.7%(42人)患者在病早
Typical Meniere’s disease has three obvious symptoms, but many patients have often had only a single cochlear lesion at a very early stage, which may not be demonstrated until many years later. Then there will be atypical Meniere’s disease is divided into cochlear and vestibular type. The authors attempt to diagnose the disease early in the illness. According to Arenberg et al. (1977), experimental hydatidiform effusion, which persists for 6 weeks to 4 (1/2 months) does not result in irreversible changes in the inner ear, encourages early treatment of Meniere’s disease and not only prevents the appearance of Progressive hearing loss and recurrent episodes of vertigo, and may also prevent contralateral ear involvement (33% in 5 years). The authors examined 52 patients, 18 males and 34 females, aged 5 to 54 years. Examination items include otolaryngology examination, detailed electrical audiometry and vestibular function examination. Twenty-four patients (38.4%) were found to have only cochlear findings, 22 (42.3%) had only vestibular dysfunction, 10 (19.3%) had peripheral cochlear vestibular findings (only 3 had typical trio), totaling 80.7 % (42) patients are sick early