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Volume 82, Issue 12
Displaying 1-8 of 8 articles from this issue
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SETSUKO TAKEMORI, GENKICHI TOTSUKA, HIROMITSU FUNAI, MAKOTO ISHIKAWA, ...1979 Volume 82 Issue 12 Pages 1447-1455
Published: December 20, 1979
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSFifty-seven cases of unilateral cerebral lesions were examined to study the influence of cerebrum on eye movements. For eye movement examinations, spontaneous nystagmus, optokinetic nystagmus and eye tracking movements were observed and recorded by ENG.
1. Directional preponderance to the lesion side was seen.
1) In frontal and parietal lobe lesions, spontaneous nystagmus to the lesion side was mainly seen.
2) In frontal, parietal, occipital lobe lesions and in cases of cerebral hemorrhage, OKN to the lesion side was better provoked than OKN to the normal side. OKN to the lesion side was also impaired only in cases of the lesions including the parietal lobe.
3) In frontal, parietal lobe lesions and in cases of cerebral hemorrhage, there were more saccades to the lesion side in eye tracking movements.
4) Visual suppression was impaired in lesions of parietal lobe.
2. There was no dominant cerebral hemisphere in regard to eye movements.View full abstractDownload PDF (773K) -
AKIHIRO HIGUCHI, MAKITO OKAMOTO, HIROOMI TAKAHASHI1979 Volume 82 Issue 12 Pages 1456-1461
Published: December 20, 1979
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSA forty seven year-old male suffering from branchiogenic carcinoma was reported.
The patient noticed u swelling in the left cervical region without other symptoms. Two months after detection of the tumor, he visited a local clinic where he had an exploratory excision of the tumor. Histopathologically, the specimen was diagnosed as squamous cell carcinoma arising from the epithelial Tinning of a lateral cervical cyst and he was referred to Kitasato University Hospital. A careful physical examination failed to reveal any other lesions except for the tumor in the left lateral neck. Therefore, the treatment was performed under a clinical diagnosis of branchiogenic carcinoma. The patient underwent radical neck dissection following radiation therapy (4000 rads). There was no recurrence of the tumor thirteen months after the surgery.View full abstractDownload PDF (1463K) -
TETSUAKI KUBOTA, KIYOMI AKAIKE, SEIJI KANAI, JIN NAKAJIMA, SATORUSU ZU ...1979 Volume 82 Issue 12 Pages 1462-1468
Published: December 20, 1979
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSEight cases of primary hyperparathyroidism (6adenomaandzhyperplasia) werer eported and discussed with reference to thediagnostic and operative procedures.The PTH determination of the blood sample obtained from theV.thyroidea was valuable for preoprative diagnosis of hyperparathyroidism. During the surgery, all of the four para thyroidgl and smustbe searched, since more than two glands may occasinally be accompanied by hyperpla sia with hyper function. The surgical technique for detecting the parathy roidg lands were described.View full abstractDownload PDF (1657K) -
JUN YANO1979 Volume 82 Issue 12 Pages 1469-1479
Published: December 20, 1979
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSClinical survey was performed on 47 psychotic patients who visited the ENT clinic in University of Tokyo Hospital from 1974 to 1977.
All of them were recommended to visit psychiatrical clinics, because they were suspected to be paranoid psychosis by an ENT specialist. Thirty-four patients could be followed up and it revealed that they were classified to definite scizophrenia (16 cases), and border-line psychosis (18 cases). The latter could be divided into 3 categories, i., osphresiophobia (9 cases), cenesopathia (6 cases), and others (3 cases).
Sixteen patients of scizophrenia had the following distinguishing features;
1) They were 17-34 years old, and younger than neurotic patients.
2) Various kinds of chief complaints were noted, and started in their teens in most cases.
3) Eight patients (50%) had undergone surgery.
4) Twelve patients (75%) had histories of psychiatrical treatments.
5) Ten patients (63%) were jobless.
6) All of 16 patients were not married.
The features above mentioned were significantly different from those of the neurotic patients.
The clinical features of 18 border-line psychotic patients were similar to those of neurotic patients, however, they had peculiar complaints.
Scizophrenic patients could be divided into 2 groups by their complaints. The 1st group had hypochondriacal complaints which were not directly related to the delusion or hallucination. The second had somatic complaints based on the delusion or hallucination. The first group patients were significantly younger than the second group.
The osphresiophobia patients believed that their "bad-odors" were due to sinus troubles. However, the bad-odors or sinus troubles were not found objectively.
The cenestopathia patients were characterized by their peculiar complaints, for example, many insects moved into my brain"
The medical treatment or surgery had no effect on the complaints of these two border-line groups.
It should be noted that there were hypochondriacal complaints observed in the rest three patients. These complaints did not seem to be related to delusion or hallucination. However, detailed survey showed these patients had specific persecutory delusion. For example, a patient believed that the tinnitus was due to poisoning by her husband.
Otolaryngologists should be careful of handling psychotic patients with somatic complaints and introduce them to psychiatrists as soon as possible, because they can not realize their present situation.View full abstractDownload PDF (914K) -
MICHI YAGI, YOSHIAKI HIRASUGI, YUKO HORIBE, SACHIKO IBATA, TOMOHIRO YA ...1979 Volume 82 Issue 12 Pages 1480-1485
Published: December 20, 1979
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSNinty-two children with sensorineural hearing loss, who have used powerful hearing aids for a long time, were investigated to study whether their hearing aids caused traumatic injury to their residual hearing.
Six cases, especially two of them, were suspected to have traumatic hearing loss.
But they could not be distinguished from progressive sensorineural hearing loss.
Many cases resulted in deterioration of hearing, despite of removal of the hearing aids and some medication. When a powerful output hearing aid is applied to children with hearing loss, audiometric follow-up and hearing aid evalution are necessary.View full abstractDownload PDF (469K) -
HIDEO OHTAKE, ISAMU TAKEYAMA, KIYOTAKA KAWAI, FUMIHIKO HISHINUMA, SATO ...1979 Volume 82 Issue 12 Pages 1486-1494
Published: December 20, 1979
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSImmunological responses in 49 cancer patients with head and neck regions were evaluated by the count of blood lymphocyte, T cell and B cell, S. I. value with PHA-mitogen, the complement level (CH50) and the amount of immunogloblin (IgG, IgA, IgM) before and after operation.
The count of blood lymphocyte and S. I. value in the group with good prognosis increased and complement level (CH50) decreased after operation. In contrast, in the group with poor prognosis, the count of blood lymphocyte and S. I. value decreased and complement level increased after operation. Then, the immunological status of patients with head and neck cancer was classified into four stages according to S. I. value and complement level. Namely, stage I was applicable to the cases in which S. I. value was more than 100 and CH50 level was less than 42. Stage II was applicable to those in which S. 1. value was more than 100 andCH5o level was more than 42. In stage III, S. I. value was less than 100 and CH50 level was less than 42. In stage IV, S. I. value was less than 100 and CH50 level was more than 42. Stage III was divided into subclass IIIa and IIIb depending on whether the count of blood lymphocyte was more or less than 1400. The patient with good prognosis after operation belonged to stage I, II and III., whereas the patient with poor prognosis belonged to stage IIIb and IV. It was observed that the immunological evidence of poor prognosis appeared about 2 months prior to the clinical manifestation of aggravation of the disease.
These results suggest that this immunological classification is usefull to follow up the status of the cancer patient after operation.View full abstractDownload PDF (768K) -
IWAO HONJO, NOBUHIRO OKAZAKI, TSUNEKI NOZOE, HAMAKO HAMASAKI1979 Volume 82 Issue 12 Pages 1495-1501
Published: December 20, 1979
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSTo examine the role of the tensor veli palatini muscle in palatal movement, the following two experiments were conducted.
1) Palatal movement induced by electrical stimulation of the tensor muscle was measured quantitatively in dogs and monkeys, utilizing a force transducer.
2) Through radiographic and cineradiographic methods, palatal movements were examined before and after the surgery in human subjects who underwent transection of the tensor muscle for the treatment of severe patent tube.
The results were:
1) Tensor stimulation did not produce any palatal movement, but resulted in consistent opening of the Eustachian tube.
2) Transection of the tensor muscle caused no change in either shape or mobility of the palate during phonation and swallowing.
It was concluded that the tensor plays no role in the palatal function. Consequently, we proposed that the muscle must be called "tubal" muscle rather than "palatal" muscle.View full abstractDownload PDF (3326K) -
[in Japanese]1979 Volume 82 Issue 12 Pages 1523-1526
Published: December 20, 1979
Released on J-STAGE: March 19, 2008
JOURNAL FREE ACCESSDownload PDF (236K)
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