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Endolymphatic sac surgery for refractory luetic vertigo.

T S Huang1, C C Lin

  • 1Department of Otolaryngology, Chang Gung Medical College, Taipei, Taiwan, Republic of China.

The American Journal of Otology
|May 1, 1991
PubMed
Summary
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Otitic syphilis symptoms mimic Meniere's disease. Endolymphatic sac surgery effectively treated refractory luetic vertigo in 81% of patients unresponsive to medical therapy.

Area of Science:

  • Otolaryngology
  • Neurosyphilis
  • Neurosurgery

Background:

  • Otitic syphilis presents with symptoms indistinguishable from Meniere's disease.
  • Medical treatment with penicillin and steroids is often effective for luetic vertigo.
  • Refractory cases may necessitate surgical intervention.

Purpose of the Study:

  • To evaluate the efficacy of endolymphatic sac surgery for medically refractory luetic vertigo.

Main Methods:

  • Endolymphatic sac procedures were performed on 37 patients with presumed luetic vertigo.
  • Patients had failed intensive medical treatment.
  • Follow-up ranged from 2 to 9.75 years.

Main Results:

  • Vertigo was completely or substantially controlled in 81% of cases.

Related Experiment Videos

  • Two patients experienced hearing improvement.
  • AAO-HNS criteria were used for hearing assessment.

    • Conclusions:

    • Endolymphatic sac surgery is a viable option for refractory luetic vertigo.
    • It is particularly beneficial for late or tertiary-acquired syphilis.
    • Surgery offers an alternative when medical therapy fails.