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男,48岁。以发作性眩晕伴左耳鸣3年,于1978年11月8日收治入院。 1975年9月在外院中药全麻下行左耳乳突根治术,醒后恶心呕吐,卧床2月余。出院后,常发作眩晕,平衡障碍,失去工作能力。1977年11月26日,突然左耳疼痛,发热,继之恶心呕吐,剧烈头痛,即收入我院内科。当时体温39℃,急性病容;脑脊液检查:蛋白质75mg％,葡萄糖40mg％,红细胞250/mm~3,白细胞540/mm~3,潘氏试验(+);左耳鼓膜急性充血。诊断:耳源性脑膜炎。经用青霉素80万单位肌注,每日3次,氯霉素1g加入氢化可的松100mg静滴,每日1次,10天后症状消失。但眩晕仍无改善,不能快步
Male, 48 years old. To episodic vertigo with left tinnitus 3 years, admitted to hospital on November 8, 1978. In September 1975 in the outer hospital under general anesthesia left ear mastoid radical surgery, wake up nausea and vomiting, more than two months in bed. After discharge, often attack dizziness, balance disorders, loss of ability to work. November 26, 1977, suddenly left ear pain, fever, followed by nausea and vomiting, severe headache, which income in our hospital internal medicine. At that time, the body temperature was 39 ° C, and the disease was acute. Cerebrospinal fluid tests included 75 mg of protein, 40 mg of glucose, 250 / mm3 of erythrocytes, 540 / mm3 of white blood cells, and Panax test (+). Diagnosis: otogenic meningitis. 800,000 units with penicillin intramuscularly, 3 times a day, chloramphenicol 1g hydrocortisone 100mg intravenously once daily, 10 days after the symptoms disappear. However, dizziness still no improvement, can not be fast paced