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Biomedical subjects

A Hadj-Djilani

Publications and source records attributed to A Hadj-Djilani.

15 recordsLinked to original sources

Meniere's disease and fibrositis syndrome (psychogenic rheumatism). Relationship in audiometric and nystagmographic results.

A prospective neuro-otological study concerning 30 cases of fibrositis syndrome (psychogenic rheumatism, PR) and 30 age-matched normal controls was made and a retrospective study concerning 33 cases of Meniere's disease (MD) diagnosed and followed-up, examined between 1965 and 1982. Results showed: sensorineural hearing loss at low frequencies in all early stages of MD and in 10/30 of PR; hyperacusis (pain threshold below 100 dBHL bilaterally for all frequencies) without other sign of recruitment in 73.3% of PR and in 3/4 cases of MD where it was measured (discomfort or vertigo due to noise was noted retrospectively in 16/33 of early stages of MD); hyperreactivity of per-rotatory nystagmus in 53.3% of PR without neurological or peripheral vestibular lesions and, with or without vestibular unilateral lesions, in 39.9% of MD. None of the controls showed hyperacusis, hyperreactivity of per-rotatory nystagmus or deafness at low frequencies.

Adult↗

Hearing and vestibular abnormalities in primary fibrositis syndrome.

A prospective neurootological study of 30 cases of primary fibrositis syndrome (PFS) and 30 sex and age matched healthy volunteers was performed. Results showed that 70% of the PFS patients had decreased painful sound threshold, 40% hyperreactivity of perrotatory nystagmus without neurological or peripheral vestibular lesions, and 27% asymptomatic sensorineural hearing loss at low frequencies. Such abnormal data were not found in the matched controls. These findings suggest that otological problems may be part of the nonrheumatic features encountered in PFS.

Adult↗

[Optokinetic nystagmus studied through otoneurologic methods].

The horizontal optokinetic nystagmus (NOC) has been studied during 5,000 otoneurological investigations. In 16.25% of all our cases, the NOC was found to be either weakened in both directions, or only in one direction. There has been no constant relationship between intensity of the spontaneous nystagmus and NOC asymmetry in case of peripheral vestibular lesion. NOC asymmetry seems to be a reliable sign of the evolution of a lesion. Cases without peripheral hypofunction have been divided into three groups: ocular disturbances, brain stem lesions and hemispherical lesions. In these cases the value of the localization of the asymmetry in NOC and nystagmus induced by vestibular tests has been studied. In hemisperical lesions, when asymmetry affected exclusively the NOC, the direction of the weakened NOC was always towards the healthy side. When asymmetry affected not only NOC but even nystagmus induced by vestibular stimulations, this weakened side of the nystagmus was less significant.

Brain Diseases↗