Brookler K H, Glenn M B
Neurotologic Associates, P.C., New York, NY 10021, USA.
Ear Nose Throat J. 1995 Aug;74(8):534-8, 540, 542.
There are patients with symptoms similar to those of Menière's disease who do not have Menière's disease and therefore do not respond to conventional medical or conservative surgical management. Some have subtle disorders of carbohydrate and lipid metabolism and inner ear otosclerosis, which are responsible for the production of their symptoms. The response to dietary therapy confirms that glucose tolerance levels which are not diabetic nor hypoglycemic may be sufficiently significant in relation to inner ear function to produce the symptoms like those of Menière's Disease. Management of inner ear otosclerosis with supplemental sodium fluoride, calcium carbonate, and Vitamin D was also effective in controlling the symptoms in some patients.
有些患者有类似于梅尼埃病的症状，但并非患梅尼埃病，因此对传统药物治疗或保守手术治疗无反应。其中一些患者存在碳水化合物和脂质代谢的细微紊乱以及内耳耳硬化症，这些是导致其症状产生的原因。饮食疗法的效果证实，既非糖尿病也非低血糖的糖耐量水平，就内耳功能而言可能足以显著到产生类似梅尼埃病的症状。用补充氟化钠、碳酸钙和维生素D治疗内耳耳硬化症，对部分患者控制症状也有效。
