jibi to rinsho
Online ISSN : 2185-1034
Print ISSN : 0447-7227
ISSN-L : 0447-7227
Volume 14, Issue 4
Displaying 1-9 of 9 articles from this issue
  • Gert Lange
    1968 Volume 14 Issue 4 Pages 217-227
    Published: December 20, 1968
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
  • Seiichi Kawata, Shigeaki Shirabe, Yahachiro Toyoda
    1968 Volume 14 Issue 4 Pages 228-236
    Published: December 20, 1968
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    These two years we have experienced 11 patients of Vogt-Koyanagi-Harada's syndrome in our clinic. The patients were examined neurotologically: tests of equilibrium, spontaneous and positional nystagmus, caloric test and so on.
    Vestibular functions of the patients suffering from this disease were as follows:
    1. In 10 of 11 patients we observed cochlear symptoms, such as tinnitus or sensorineural hearing impairment.
    2. In general subjective vestibular symptoms were rare among them. It may be due to good central compensation or to its smaller lesion.
    3. Objectively, in 8 patients we found some abnormalities of vestibular function in the course of the disease.
    4. We observed direction-fixed positional nystagmus in 6 patients ; directional preponderance in 3 and hypernystagmus by Hallpike's caloric test in 4.
    5. From the symptoms and the results of vestibular functional tests we came to the conclusion that the vestibular disfunction of the disease is more due to the disorder of otolithic organs than that of semicircular canals.
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  • Masako Nakashima, Shigeaki Sirabe, Hiroshi Torii, Koichi Yasuda, Ikuo ...
    1968 Volume 14 Issue 4 Pages 237-249
    Published: December 20, 1968
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Discussion was made about 10 cases of paroxysmal postural vertigo and nystagmus. 7 of these cases were completely cured, while the others were restored from their subjective symptoms but not from their spontaneous and or positional nystagmus.
    Audiogram proved normal in 7 cases, but high-tone deafness in 2 cases and slight low-tone deafness in 1 case.
    Caloric test showed normal calorigram in 4 cases, canal paresis of one or both sides of the ear in 4 cases and directional preponderance in 2 cases. The 3 patients whose spontaneous and or positional nystagmus was not cured had organic diseases such as Raynaud's disease, Atlas-assimilation with cirvical rib and a whiplash injury. It was concluded that if the patient who had normal hearing was not suffering from an organic disease in central nervous system, neck or circulatory system, postural vertigo and nystagmus would be completely cured. Théraptique (N-N-Dibutyl-N-N-Dicarboxy -Morpholid-Ethylendiamin; stimulant of respiratory center) was the most effective agent in treatment.
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  • Shigeaki Shirabe, Koichi Yasuda
    1968 Volume 14 Issue 4 Pages 250-255
    Published: December 20, 1968
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    We reported the cases of migraine with cerebellar ataxia accompanied by vertical nystagmus to downward in a right lateral position. Usually we investigated the positional nystagmus by means of electronystagmography with the eye opened under Frenzel's glasses in the dark.
    Both cases are father and son aged 60 and 29, had an attack of a migraine and cerebellar ataxia in their middle ages. Similar symptoms and signs are proved in 5 persons among their family. We emphasized the clinical significance of vertical nystagmus in neurotological examinations, while the literature of such nystagmus findings is rare.
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  • Masaaki Nagafuchi
    1968 Volume 14 Issue 4 Pages 256-263
    Published: December 20, 1968
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    In 1967 the author investigated 208 children of Okinawa School for the Deaf with respect to the causes of deafness and audiometric aspects.
    Two hundred and eight children consisted of 107 boys and 101 girls aged from 6 to 18 years.
    Familiar deafness is an important pre-natal cause of deafness among them, and it was found in 41 families (22%). Consanguineous marriages of their parents amounted to 15 families (8%). There were three predominant diseases as post-natal causes of deafness, that is, febrile diseases suffered before the age of 2 years amounted to 38 children (18%), otitis media to 25 (12%) and measles to 24 (11.5%). One hundred and eighty-one children were subjected to hearing tests based on the standard audiometry. Hearing losses of the children were found to be more than 50 dB. Audiogram of the residual type was found in 90 children (50%) and total deafness Caudiogram of the scale-out type) in 19 (10.5%). In comparison with the hearing test results conducted in 1965, 46 children (25%) had progressive hearing impairments.
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  • Kazuhiko Motomura, Takuya Sueta, Yujiro Matsumura
    1968 Volume 14 Issue 4 Pages 264-269
    Published: December 20, 1968
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Two cases of antroepipharyngeal polyp and three cases of antromesopharyngeal polyp were reported. In each case, it was observed that the polyp originated in maxillary mucous membrane. As to treatment, it is suitable that the maxillary mucous membrane and ethmoid cells together with polyps should be removed. The X-ray examination making clear the contour of antroepipharyngeal polyp was helpful for diagnosis.
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  • Takeshi Arakawa, Kenichi Ogino
    1968 Volume 14 Issue 4 Pages 270-274
    Published: December 20, 1968
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    Cases of primary multiple tumors are rare. A case of rare primary multiple cancers, in stomach and larynx was presented. The patient was 68 year old male who had been complaining of hoarseness in voice since August, 1964.
    Hyperkeratosis of both vocal cords was found on his first visit to our clinic in November, 1964. In May, 1965, he began to complain of distension feeling in the epigastrium, and the cardiac cancer (adenocarcinoma) was discovered in him by endoscopic examination.
    Gastrectomy was performed next month. The patient had not been conscious of anything wrong in the larynx ten months since the operation, until gradually his left vocal cord became ulcerated, but the movement of his vocal cords was fairly good.
    Squamous cell carcinoma was certified by the biopsy of the ulcerated tumor of his left vocal cord. Since the patient would not undergo an operation 60Co 4000 rads was irradiated to the laryngeal cancer twice, before and after the interval of three months. Unfortunately he died ten months after the radiation therapy.
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  • Yasushi Nomura, Taira Miyagi, Akira Kawano, Shigenobu Mihashi
    1968 Volume 14 Issue 4 Pages 275-278
    Published: December 20, 1968
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    The patient was male, aged 72. His cheif complaints were sore throat and swelling at the left submandibular region. The tumor was associated with metastasis and they were removed as one block. The tumor was approximately goose-egg in size, and was found to be cystic. No recurrence was noticed during two years after surgery.
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  • Kozo Sakakura, Yukio Inuyama
    1968 Volume 14 Issue 4 Pages 279-283
    Published: December 20, 1968
    Released on J-STAGE: May 10, 2013
    JOURNAL FREE ACCESS
    40 patients were treated with Inteban (1-(p-Chlorobenzoil)-2- Methyl -5- Methoxy-Indole -3- Acetic Acid) and discussed the clinical effects of them. Most of the patients were cured in acute inflammatory diseases and have been asymptomatic, but not in chronic. Much better results were obtained in the subjects using together the another drugs, such as antibiotics, tranquilizer and protein resolving enzyme.
    Side effect was found in 2 patients, who complained the disturbance ofstomach.
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