Zarażenie pasożytami jelitowymi jako przyczyna uszkodzenia narządu przedsionkowego

The statokinetic organ was examined using the thermal, rotary and galvanic tests in 28 patients suffering from dizziness in the course of infection with intestinal parasites of the alimentary tract (13 cases of lambliosis, 8 cases of taeniasis, 7 cases of infection with Trichuris trichiura and Enterobius vermicularis). The patients complained of dizziness but without accompanying ear noises and defect hearing. All patients were examined internistically, otolaryngologically, audiometrically and in case of need neurologically and oculistically. The age of the patients was from 18 to 50 years, the highest number constituted persons between 30 and 40 years. Dizziness was most marked in the course of lambliosis. Out of the total number of 28 patients, in 24 were found abnormal labyrinth reactions, in 2 of them lack of excitability, diminished excitability in 21 persons, directional prevalence of nystagmus in one case. Control examinations conducted on 12 patients during the period from 6 months to 3 years following the cure (1 or more treatments) revealed normal excitability of the labyrinths, general feeling of wellbeing and receding or digestive disturbances in 10 persons, in 2 persons the excitability of the labyrinths remained abnormal, dizziness persisted and there were complaints of ailments of the alimentary organ. The results of these studies are in accordance with the data of Dix and Hallpike and other authors and the pathological picture corresponds to the unit described and named by Dix and Hallpike neuronitis vestibularis. In the cases described by me the injury to the I vestibular neuron could becaused by the action of toxins on the vestibular organ on a toxic-allergic way with the participation of vestibular - vegetative reflexes. This is confirmed by the fact that in the majority of the cases following the anti-parasitic treatment dizziness receded and the labyrinth reactions became normal.