後天性内耳梅毒に対する髄液検査の有用性

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  • Usefulness of Cerebrospinal Fluid Examination in Early Diagnosis of Luetic Labyrinthitis.

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This is a case report of 2 patients with luetic labyrinthitis, whose major symptoms were tinnitus and vertigo. Meningo-neuro-labyrinthitis has been diagnosed because of increased cell counts in the cerebrospinal fluid (CSF) and a positive CSF test for syphilis. The standard treatment for neurosyphilis was administered: i. v. infusion of penicillin G 2×107U/day and oral minocycline 200mg/day. The labyrinthitis of the patients responded favorably. This suggests the importance of early diagnosis and early initiation of treatment in this disease. We conclude that CSF examination is essential if luetic labyrinthitis is suspected, even in patients who have received antiluetic therapy.

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