Nippon Jibiinkoka Gakkai Kaiho
Online ISSN : 1883-0854
Print ISSN : 0030-6622
ISSN-L : 0030-6622
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Volume 111, Issue 9
Displaying 1-4 of 4 articles from this issue
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Original article
  • Examination of Dynamic Body Balance Using the Body Tracking Test in Cases of Vestibular Neuronitis
    Tomoe Yoshida, Masahiko Yamamoto, Toshiyuki Nomura, Satoko Ohwada, Rio ...
    2008 Volume 111 Issue 9 Pages 617-622
    Published: 2008
    Released on J-STAGE: December 16, 2009
    DOIhttps://doi.org/10.3950/jibiinkoka.111.617
    JOURNAL FREE ACCESS
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    Body Tracking Test (BTT) is a testing method of the dynamic body balance function wherein movement of the center of gravity in accordance with a moving visual target stimulus is examined to evaluate the tracking function of the body.
    The objects were the patients who were diagnosed as having vestibular neuronitis at the Department of Otolaryngology in Toho University medical center Sakura hospital, and were undergoing hospital treatment.
    Lateral BTT was performed in 31 subjects, and antero-posterior (A-P) BTT in 45 subjects.
    Although gaze nystagmus was noted, inspection was enforced when a standing position posture was possible.
    In lateral BTT, the average (cm/second) horizontal direction body sway speed was compared, however, no clear lateral difference was noted.
    In the antero-posterior (A-P) BTT, it inquired using the direction body sway average center displacement (cm) of X. Deviation was seen by the affected side in stabilometry. Deviation was seen by the unaffected side in the antero-posterior (A-P) BTT.
    This phenomenon differs from the deviation pattern until now and is considered to involve participation of the higher centers.
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  • Tracheal Cartilaginous Sleeve in Craniosynostosis
    Tomoaki Nakano, Tsunemasa Aiba, Takeshi Kubo, Makoto Kusuki, Ayako Hir ...
    2008 Volume 111 Issue 9 Pages 623-627
    Published: 2008
    Released on J-STAGE: December 16, 2009
    DOIhttps://doi.org/10.3950/jibiinkoka.111.623
    JOURNAL FREE ACCESS
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    Tracheal cartilaginous sleeve (TCS) is a congenital malformation involving fusion of the tracheal arches that may be isolated to a few tracheal arches, include the entire trachea, or extend beyond the carina into the bronchi. Tracheotomy was required in 9 of 23 craniosynostosis cases undergoing gradual distraction at Osaka City General Hospital from March 2002 to April 2006. TCS was diagnosed in 5 of 9 cases-four Pfeiffer patients and one Crouzon patient. Diagnosis was made intraoperatively during tracheotomy or at autopsy. 3D-CT was not useful in diagnosing TCS. Aggressive management of respiratory infection and pulmonary secretion, selection of appropriate tracheostomy tubes, and endoscopic evaluation are very important to care in managing TCS patients.
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  • A Case of Fisher Syndrome Following Sphenoiditis
    Hiroyuki Inoue, Norio Kokan, Haruhiko Ishida, Kei Funakoshi, Ken-ichi ...
    2008 Volume 111 Issue 9 Pages 628-631
    Published: 2008
    Released on J-STAGE: December 16, 2009
    DOIhttps://doi.org/10.3950/jibiinkoka.111.628
    JOURNAL FREE ACCESS
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    Fisher syndrome is a subtype of Guillain-Barré syndrome that is characterized by the three chief symptoms of acute-onset external ophthalmoplegia, ataxia, and loss of tendon reflexes. Herein, we report a case of Fisher syndrome encountered by us,with sphenoiditis as the antecedent infection.
    The patient was a 39-year-old man who visited a local doctor after developing the symptom of rhinorrhea, followed three days later by diplopia. Cranial MRI suggested sphenoid sinusitis, and the patient was referred to our hospital with suspected rhinogenous intraorbital complication. Neurological findings included bilateral abduction deficit, which was considered unlikely to be an ocular manifestation of an intraorbital complication of right unilateral sphenoiditis. In addition, the reduction of the tendon reflexes in the limbs and ataxia suggested the diagnosis of Fisher syndrome, which was then confirmed based on the albuminocytologic dissociation observed on cerebrospinal fluid examination and a positive blood test result for anti-GQ1b antibody.
    The symptoms were attributed to the production of antibodies against antigens expressed on the oculomotor, trochlear, abducens and other nerves (anti-GQ1b antibody) due to the antecedent infection. The present patient was thought to have developed Fisher syndrome following sphenoiditis as an antecedent infection. Care must be taken to differentiate this condition from rhinogenous intraorbital complication.
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