Meissner R
Arch Otorhinolaryngol. 1980;228(4):223-31.
Seventy-three of 172 patients with sudden deafness had a vestibular participation. The found forms of spontaneous and provoked nystagmus, their partial combination with thermic under- or non-excitability of the labyrinth as well as vertigo complaints of the patients are described, especially in their temporal course during the illness. The frequent vestibular participation during sudden deafness entitles to introduce the term "range of forms of peripheral-vascular conditioned labyrinthine disturbances", whose cornerstones are the sudden isolated peripheral deafness and the sudden isolated peripheral vestibular loss with a number of intermediate forms. In addition to this, the stronger consideration of the vestibular findings during sudden deafness facilitates the otherwise often difficult differential diagnosis of Menière's syndrome: that one differs by the lacking increase of direction-fixed spontaneous or positional nystagmus to the cochlearly injured ear, incidences of central forms of nystagmus, and the possibility of temporal occurrence of the vestibular findings after the cochlear damage.
172例突发性聋患者中有73例存在前庭受累情况。文中描述了所发现的自发性和诱发性眼球震颤的形式、它们与迷路热敏感性降低或无反应的部分组合以及患者的眩晕主诉,尤其着重于疾病过程中的时间进程。突发性聋期间频繁出现的前庭受累情况使得引入“外周血管性条件性迷路障碍形式范围”这一术语成为可能,其基石是突发性孤立性外周性聋和突发性孤立性外周性前庭功能丧失以及一些中间形式。除此之外,在突发性聋期间更重视前庭检查结果有助于在其他情况下常常较为困难的梅尼埃综合征的鉴别诊断:梅尼埃综合征的不同之处在于向耳蜗受损耳方向固定的自发性或位置性眼球震颤没有增强、存在中枢性眼球震颤形式以及在前庭功能检查结果可能在耳蜗损伤后出现。