Hicks G W, Wright J W
Ear Institute of Indiana, Inc., Indianapolis 46256.
Laryngoscope. 1988 Aug;98(8 Pt 1):840-5. doi: 10.1288/00005537-198808000-00010.
Delayed endolymphatic hydrops is a disease entity that can be differentiated from Meniere's disease. This condition was first reported simultaneously by Nadol, et al. and Wolfson and Leiberman, with further clarification by Schuknecht. The disease is characterized by a profound sensorineural hearing loss in one ear, with the onset of episodic vertigo from that ear after a prolonged period of time (ipsilateral delayed endolymphatic hydrops) or the development of fluctuating hearing loss and/or episodic vertigo in the opposite ear after a prolonged period of time (contralateral delayed endolymphatic hydrops). This paper is a review of 15 cases of delayed endolymphatic hydrops, eight ipsilateral and seven contralateral. The results of this study indicate that surgical treatment for the ipsilateral form of the disease gave the best results. For the contralateral variant, it appears that medical measures should be the therapy of choice resorting, in the event of their failure, to conservative surgical intervention on what may be the only hearing ear to preserve hearing and control vertigo.
迟发性内淋巴积水是一种可与梅尼埃病相鉴别的疾病实体。这种情况最早由纳多尔等人以及沃尔夫森和利伯曼同时报告，舒克内希特进一步进行了阐明。该疾病的特征是单耳出现严重的感音神经性听力损失，在长时间后该耳出现发作性眩晕（同侧迟发性内淋巴积水），或者在长时间后对侧耳出现波动性听力损失和/或发作性眩晕（对侧迟发性内淋巴积水）。本文回顾了15例迟发性内淋巴积水病例，其中8例为同侧，7例为对侧。本研究结果表明，对同侧型疾病进行手术治疗效果最佳。对于对侧型，似乎应首选药物治疗，若治疗失败，则对可能是唯一有听力的耳朵采取保守手术干预，以保留听力并控制眩晕。
