Abstract
The aim of this survey was to determine some of the factors connected to the disturbance of social activity of patients suffering from Meniere's disease. The clinical course of 43 cases with classical Meniere's disease were analyzed for a period of twenty to fifty years. According to the grade of bilateral hearing impairment or damaged social activity, these cases were classified into three groups:A: 15 cases with persistent bilateral profound hearing lossB: 11 cases with difficulty of social activity due to repeated attacks of vertigo for a long timeC: 17 cases without severe loss of hearing or damaged social activity despite longstanding symptomsThese clinical records were carefully analyzed and compared between Groups A and C or Groups B and C. As a result, the author found several points suggesting methods of prevention of severe damage of social activities, as follows:1. Continuous, careful observation, even during the stable periods, to find small, unrecognized fluctuation of hearing in the low-tone range, followed by medical checks and continuous treatment.2. During the acive stage, the application of "time series analysis" of the daily recording of the aural, general and environmental conditions to find the precipitating factor.3. To accomplish these activities, a well organized medical care system, including the patient's self-monitoring and tele-medical communication between patients and doctors.
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