Recurrent Vertigo with Unilateral or Bilateral Sensorineural Hearing Loss of Unkown Etiology. Tsutomu Yamazaki, Sachie Watanabe, Hideo Kozaki and Taka

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1 Recurrent Vertigo with Unilateral or Bilateral Sensorineural Hearing Loss of Unkown Etiology. Tsutomu Yamazaki, Sachie Watanabe, Hideo Kozaki and Takao Abe (Sapporo General Hosp.) Kazuo Yamamoto (Tomakomai) Noboru Sakai, Munetaka Yamakiwa, Junichi Matsushima (Hokkaido Univ.) Toru Yanai (Asahikawa Red-Cross Hosp.) The records of 22 patients with unilateral or bilateral sensorineural hearing loss of unknown etiology who had recurrent vertigo and were seen at Sapporo General Hospital between 1974 and 1979 were studied. As a result, they were classified in following four groups: The first group included patients with recurrent vertigo with fluctuating hearing loss and tinnitus, and the causes of vertigo or deafness were attributed to abnormality of the vestibular aqueduct or endolymphatic sac, measles virus and otitis media. In two patients with endolymphatic hydrops caused by otitis media, progressive hydrops (Shuknecht, 1976) was demonstrated by the glycerol test and by clinical findings. (Paparella. 1979) The second group included patients of recurrent vertigo without fluctuating hearing loss and tinnitus, and the etiology of vertigo or deafness was sepeculated to be associated with virus related mumps. The third group included two patients with endolymphatic hydrops as demonstrated by the glycerol test after sudden sensorineural deafness and vestibular paralysis, the etiology of which was presumed to be vasular lesions, those similar to vertigo of delayed onset after sudden deafness (Nadol, 1975), but in some patients were considered to be

2 caused by viral infection. We observed one patient after sudden sensorineural imparment and vestibular disorders who had recurrent attacks of vertigo with fluctuating hearing loss and and tinnitus, in relation to an allergic disposition.

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7 AUDIOGRAM (AA-34 AUDIOMETER) RIGHT EAR LEFT EAR MASRING AC db MASKING AL () db

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9 1) Black, F. O., et al.: Bilateral multiple Otosclerotic fobi and endolymphatic hydrops. Ann. Otol. 78: , ) Dolowitz, D. A.: MENIERE'S AN INNER EAR SEIZURE. Laryngoscope 89: 67-77, ) Hallberg, O. I., et al.: Sudden deafness of Obscure origin. Laryngoscope 66: , ) Kimura, R. S.: et al. Arterial obstruction of the Labyrinth: Part I Cochlear changes. Ann. Otol. 97: 5-24, ) Kimura, R. S.: Experimental pathogeuesis of hydrops. Arch Oto-Rhio-Laryng. 212: , endolymphatid hydropsin a leukemic pati- ents with sudden hearing loss. Ann. Otol. 18) Shaia, F. T., et al.: Sudden sensorineural 9) Lindsay, J. P.: Inner ear pathology due to measles. Ann. Otol. 63: , ) Lindsay, J. R.: Inner ear patholohy bue to mumps. Ann. Otol. 69: , ) Lindsay, J. R.: Profound childhood deafness, Ann. OtoI. 82 (Suppl 5: ), ) Nadol, J. B., et al: Vertigo of delayed onset after sudden deafness. Ann. Otol. 84: , ) Paparella, M. M., et al. Endolymphatic hydrops and otitis mcdia. Laryngoscope 89: 43-58, ) Saunders, W. H., et al: Sudden deafness and Bell's palsy: A common cause. Ann. Otol. 68: , ) Sando, I., et al.: Unilateral endolymphatic hydrops and associated abnprmalities. Ann. Otol., 85: , ) Sando, I., et al.: Inner ear hemorrhage and 86: , ) Sando, I., et al.: Sudden Deafness-histopathologic correation in temporal bone. Ann. Otol. 86: , hearing impairment: A report of 1,220 cases. Laryngoscope 86: , 1676.

10 19) Shuknecht, H. F., et al.: The pathology of sudden deaf ness. Larygoscope. 72: , ) Shuknecht, H. F., et al.: Pathology in a case of profound congenital deafness. J. Laryngol. 87: , ) Shuknecht, H. F.: Pathophysiology of Endolymphatic Hydrops. Arch. Oto-Rhino-Laryngol. 212: , ) Van Dishoeck, H. A. E., et al: Sudden perceptive deafness and viral infection. Ann. Otol. 66: , ) Willams, H. L.: A review of the litrature as to the physiologic dysfunction of Meni- Fundamental Cause. Laryngoscope. 75: , ) Wolfson, R. J., et al,: Unilateral deafness With subsequent vertigo. Layngoscope 85: , ) Zajtchuk, J. T., et al., Temporal bone pathology in herpes oticus. Ann. Otol. 81: , 1972.

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