在临床上对美尼尔氏病常有很生动的描述,有阵发特性,严重的发病以后又出现好像完全无病那样的缓解。在发病过程中有旋转性眩晕、耳鸣、听力障碍以及耳内胀满压力感。早在1946年典型的美尼尔氏病压力感已经引起注意。这种特殊的压力感及耳蜗症状常发生于眩晕发作之前,这样就可以联想到与内淋巴压力增高有关。Pulec曾指出,在局麻下刺破球囊或打开内淋巴囊,就感到压力突然解除。然而Schuk-necht提出,膜迷路并无感觉接受器,因此不会有传导压力的感觉。但另有进一步的论说,在内耳和中耳具有灵敏的神经——植物神经系统,作用时可使毛细血管发生功能障碍。在内耳,功能障碍可以引起美尼尔氏病;在咽鼓管,功能障碍就会出现压力感。不过许多学者不承认美尼尔氏病与咽鼓管功能障碍有关。又有人解释美尼尔氏病时由于有平衡障碍可导致枕肌活动力增强遂引起压力感。本文报告一例有3年眩晕史的20岁 In clinical practice, there is a very vivid description of Meniere’s disease, with paroxysmal features, and after serious onset of symptoms appear to be completely disease-free. In the pathogenesis of rotational dizziness, tinnitus, hearing loss and the ear filled with stress. As early as 1946, the typical feeling of Meniere’s disease has attracted attention. This particular stress and cochlear symptoms often occur before the onset of vertigo, so that can be associated with increased endolymphatic pressure. Pulec once pointed out that pressure was suddenly relieved when punctured the balloon or opened the endolymphatic sac under local anesthesia. Schuk-necht, however, suggests that there is no sensory receptor for the lost membrane, so there is no feeling of pressure transmission. But there is further argument that the inner ear and middle ear have a sensitive nervous system - autonomic nervous system, the role can make capillary dysfunction. In the inner ear, dysfunction can cause Meniere’s disease; in Eustachian tube dysfunction, there is a sense of stress. However, many scholars do not recognize Meniere’s disease and eustachian tube dysfunction. Another explanation for Meniere’s disease due to a balance disorder can lead to increased activity of the occipital muscle, then cause a sense of pressure. This article reports a 20-year-old with a history of 3 years of vertigo