Ishikawa K, Edo M, Togawa K
Department of Otorhinolaryngology, Akita University School of Medicine, Japan.
Acta Otolaryngol Suppl. 1993;503:13-5. doi: 10.3109/00016489309128062.
Clinical observations were made on 32 patients with vestibular neuronitis in the last 5 years: 14 male and 18 female, ranging from 15-76 years, the average being 46.3. Within the age distribution of the cases, two peaks were observed: a younger and an older group. Five patients (15%) had recently contracted infection of the upper respiratory tract before the onset of the disease, and two developed benign paroxysmal positional vertigo during the recovery period. Spontaneous nystagmus was observed in 19 cases (59%) in the first medical examination. There were several patients in whom there was the possibility of central lesions based upon the findings of equilibrium examinations. No relation was found between the degree of canal paresis and the time required for recuperation; however, the older patients took much longer to recover from the disease. Our results showed that there were considerable individual variations regarding the clinical findings, which may suggest that the pathological entity that creates this disease is not simple.
在过去5年中，对32例前庭神经炎患者进行了临床观察：男性14例，女性18例，年龄在15 - 76岁之间，平均年龄为46.3岁。在病例的年龄分布中，观察到两个高峰：一个较年轻的组和一个较年长的组。5例患者（15%）在疾病发作前近期患有上呼吸道感染，2例在恢复期出现良性阵发性位置性眩晕。在首次体检时，19例（59%）观察到自发性眼震。根据平衡检查结果，有几例患者有可能存在中枢病变。未发现半规管轻瘫程度与恢复所需时间之间的关系；然而，老年患者从疾病中恢复所需的时间要长得多。我们的结果表明，临床发现存在相当大的个体差异，这可能表明引发这种疾病的病理实体并不简单。
