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미로매독의 임상청각학적 관찰
Published Online: May 31, 2020
ABSTRACT
Otolaryngologist often experiences sensorineural deafness caused by syphilis but definitive diagnosis is very difficult, because it has various symptoms and is similar to other sensorineural deafness such as Meniere’s disease.
The prognosis of labyrinthine lues is poor so it is one of difficult disease to treat in the otolaryngological field.
Author investigated 25 cases(47 ears) of labyrinthine lues audiologically and obtained following results.
The ratio of male and female in labyrinthine lues was 3 : 2 and it began at 30〜50 decade.
Luetic deafness was almost bilateral and the ratio of symmetry & asymmetry was same. All of gradual deafness type was bilateral but sudden deafness type had also unilateral and changeable type was also seen.
The degree of luetic deafness was moderate to severe and descending form of audiogram developed to severe deafness type.
In 65% of all case, SISI test was positive and tinnitus was seen in 68% and vertigo in 42%. But there was no relation between existence of vertigo and degree of deafness.
Ocular symptom was seen in 75% and spontaneous nystagmus in 26%.
If there is sensorineural deafness with unknown cause, it is necessary to check detailed syphilis test one time.
And it is emphasized to use massive dosage of penicillin and steroid for treatment of labyrinthine lues.