Pappas D G, Banyas J B
ECHO Foundation, Birmingham, Alabama.
Acta Otolaryngol Suppl. 1991;485:104-7.
Many etiologic agents for Meniére's syndrome have been proposed, suggesting a heterogeneous nature for this disorder. Dissimilar etiologies could, of course, yield disparate responses to uniform treatment. Although electrocochleography has provided us with some objective diagnostic criteria, the actual identification of Meniére's syndrome rests predominantly on clinical criteria. Several of our patients with dysautonomia presented with classical symptoms of Meniére's syndrome. Twenty-five of these patients were treated with increased fluid and sodium intake and flurocortisone, a mineralcorticoid agent. Our favorable results have led us to postulate a heretofore unrecognized etiology for Meniére's syndrome, and speculate on some of the previously reported responses of Meniére's syndrome to corticosteroid treatment.
针对梅尼埃病综合征已提出了许多病因，这表明该疾病具有异质性。当然，不同的病因可能对统一的治疗产生不同的反应。尽管耳蜗电图为我们提供了一些客观的诊断标准，但梅尼埃病综合征的实际诊断主要依据临床标准。我们的几位自主神经功能障碍患者出现了梅尼埃病综合征的典型症状。其中25例患者接受了增加液体和钠摄入以及使用氟氢可的松（一种盐皮质激素）的治疗。我们良好的治疗效果促使我们推测梅尼埃病综合征存在一种迄今未被认识的病因，并对先前报道的梅尼埃病综合征对皮质类固醇治疗的一些反应进行推测。
