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pp.45-49
Published Date 1951/2/20
DOI https://doi.org/10.11477/mf.1492200453

 Tsuiki says that, since 1947, he has performed fenesteating operations on saccus endolympaticus according to the method described by portmann on 15 cases, which are now accumulated to date.

The purpose of the operation was chiefly with view of curing symptoms of vertigo but, other opportunities emerged whereby the method is tried for treatment of tinnitus aurium and hard of hearing. In 12 cases, in whom it was directed against vertigo, good results were obtained with proper follow-up studies upon them having been available. In few cases favorable results were permanently established. In view of these results the author states that he is come to believe the existence of a condition what may be known as labyrinthine hypertonia to constitute a syndrome of disease in the labyrinth.

 However, the term, labyrinthine hypertonia, as used here by the author has never been, heretofore, employed by others. In fact, to give such a proposal a proper clinical value various prerequisite conditions must be first fulfilled such as collection of similar cases with wide searches in future and establishment of means by which they may be treated by a prescribed uniform method. But, the author thinks the experience so far has served only to throw light upon the occurrence of ceratin related facts that ;(1) There is probability of actual occurrence cf this disease; (2) with symptoms by which it may be differentiated; (3) clinical diagnosis may be established with a certain degree of dependableness; and, (4) the acquirement of knowledge as to what should be done in a way of treatment. Therefore, the author concludes that, in as much as, the etiology of the labyrinthine disease is unknown at the present stage of deveolpment chose syndromes, of which he has experienced, might as well be called labyrinthine hypertonia, and, by so doing there appear to be more possibilties than it has happened ever before that many labyrinthine diseases of unknown origin be given opportunities for greater ease with which diagnosis and treatment may be made.


Copyright © 1951, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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