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72 巻, 10 号
選択された号の論文の14件中1～14を表示しています
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心因性めまい検出を意図した平衡試験と上肢小脳症状検査成績を指標とする観察中西 和仁, 桧 学, 伊藤 信輔, 岸本 誠司, 多田 豊, 安立 良治1979 年 72 巻 10 号 p. 1299-1310
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリーSignificance of psychological factors of psychosomatic origin and dysfunction of the cerebellum were discussed, with regard to prognosis of vertigo and/or ataxia due to head and neck injury. For detection we used “Equilibrium tests for neurotic vertigo, Hinoki et al. (1976)” and tests for cerebellar ataxia of the upper limbs, respectively.
The results obtained were as follows;
(1) Psychological factors of psychosomatic origin and dysfunction of the cerebellum were found to be important in the reinforcement of ataxia due to head and neck injuries, which ensued with prolongation of the vertigo. Furthermore, we found that the mode of action of these two factors was not addititive, but multiplicative with regard to prolongation of the vertigo mentioned above.
(2) Administration of Cloxazolam, a minor tranquilizer, combined with procainization of tender areas of the lumbar region was most useful in relieving vertigo of this kind.抄録全体を表示PDF形式でダウンロード (1185K) -
水谷 淳子, 小松崎 篤, 水野 正浩1979 年 72 巻 10 号 p. 1311-1318
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリーTwo cases of the localized metastatic carcinoma to the midline cerebellar structure were studied neuro-otologically.
The first was a fifty-seven year old woman, whose chief complaint was a feeling of unsteadiness.
Computed tomography showed a localized midline cerebellar tumor and this tumor was extirpated.
Neurological examinations revealed truncal ataxia, but no other cerebellar sign.
Neuro-otological examinations revealed the lack of a nystagmus, smooth pursuit eye movement, normal caloric response and normal optokinetic nystagmus.
Vertical downbeat nystagmus was demonstrated by the positioning nystagmus test from sitting to head down position.
The second patient was a fifty-three year old woman who complained of an unsteady gait.
Neurological examinations revealed a disturbance in tandem gait and left finger to nose test.
A cerebellar tumor slightly shifted to the left was demonstrated by computed tomography.
Lateral gaze nystagmus predominantly beating to the left was evident.
Pursuit eye movement and optokinetic nystagmus was slightly disturbed.
Suboccipital craniotomy was performed and the tumor was found to extend into the fourth ventricle from the cerebellar vermis.
The lesion in the second patient as seen at surgery was not only in the cerebellum itself but in the brain stem.
These two localized cerebellar midline tumors revealed the following:
1) Lateral gaze nystagmus was not demonstrated in a pure cerebellar midline lesion.
2) Smooth pursuit eye movement and optokinetic nystagmus was also normal.
3) The most striking finding neuro-otologically was vertical downbeat nystagmus seen on the positioning nystagmus test.抄録全体を表示PDF形式でダウンロード (3241K) -
特に免疫グロブリンを中心に中島 成人, 隈上 秀伯1979 年 72 巻 10 号 p. 1319-1325
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリーCerebral Spinal Fluid (CSF) of 22 patients with Meniere's disease was examined regarding pressure, number of cells, protein, glucose, and IgA, G, M and E. Almost of all values were within normal limits.
There were no differences of each mean value and SD between the irritative and paralytic stage and also between Meniere's diseases and labyrinth related syphilis. Regarding the osmolarity of CSF, 5 of 22 patients showed normal values.
Other peripheral vestibular lesions (vestibular neuritis, inner ear vertigo due to unknown causes, Ramsey-Hunt's syndrome and Vogt-Koyanagi-Harada's disease) were considered to be due to viral infections and immunological disorders.
Thus causes of Meniere's disease may not be revealed in the CSF, and the inner ear fluid should be examined.抄録全体を表示PDF形式でダウンロード (586K) -
与座 朝義, 森本 正紀, 二木 隆1979 年 72 巻 10 号 p. 1327-1331
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリーA 48-year-old man who had olfactory-induced attacks of vertigo with tinnitus and impaired hearing for two years was diagnosed as syphilitic hydrops and underwent bilateral Portman's operation at intervals of three months. The vertiginous attacks disappeared but the olfactory induced dizziness continued. We noted that the dizziness could be induced when he inhaled petroleum derivatives and garlic odors. Immediately after intravenous injection of 10mg of alithiamine, nystagmus was recorded on ENG and such was accompanied with salivation. Thus, it would appear that neural mechanisms are directly involved in olfactory induced nystagmus.抄録全体を表示PDF形式でダウンロード (456K) -
細川 智, 北條 和博, 相馬 博志, 鳥居 智子, 水越 鉄理1979 年 72 巻 10 号 p. 1333-1340
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリーBSR波形を正常パターンと異常パターンとに分けて検討してみた. 正常聴力を有する人のBSRにもいくつかの variation を認めるが, ほぼ全例で第1波, 第3波と第5波がみられた. 末梢性の聴力障害者でも, 聴力損失が高度でないかぎり, 第5波は記録できた. 一方, 脳幹障害の33名のBSRは, (1) 第5波の潜時が延長するもの, (2) 第5波が不明瞭のもの, とに大別された. BSR検査を脳幹障害の診断に応用するに当って, 第5波の潜時並びにその存在の有無をチェックすることが重要な所見であると考えた.抄録全体を表示PDF形式でダウンロード (802K) -
岩沢 武彦1979 年 72 巻 10 号 p. 1341-1358
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリーI report herein sensitivity tests (MICs) to antibiotics and treatment courses of patients with chronic suppurative otitis media due to glucose non-fermentative gram-negative rods isolated and identified in the otorrhea.
Isolated six rods of A. xylosoxidans, one rod each of P. maltophilia, Flavobacterium sp. and Alcaligenes, and two rods of A. calcoaceticus showed the lowest MICs to doxycycline, and next to gentamicin, but high MICs to ampicillin and to sulbenicillin.
Doxycycline I. V. in one dose was administrated to six patients with identified A. xylosoxidans which were sensitive at the second tests. Here other antibiotics were sensitive to St. aureus isolated and identified in the otorrhea at the initial tests were not effective.
More than three minutes were needed to inject 100mg of doxycycline in 20ml of 5% glucose solution (doxycycline dosage: 100mg per day).
Doxycycline was effective in three cases (50%), slightly effective in 1 (16.7%) and not effective in 2 (33.3%).
No side effects were observed during the doxycycline I. V. therapy.抄録全体を表示PDF形式でダウンロード (1568K) -
玉田 彰, 田中 暁, 伊藤 忠弘1979 年 72 巻 10 号 p. 1359-1365
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリーSjögren's syndrome is characterized clinically by xerostomia, keratoconjunctivitis sicca and rheumatoid arthritis.
A 52 year old female developed weakness and enlargement of the parotid glands in 1969 when a parotid gland biopsy was done, revealing a moderate periductal lymphocytic infiltration moderately.
In 1972, the small joints of her hand and toes started to become progressively deformed. In 1976, she was finally diagnosed as having rheumatoid arthritis and had surgery on her deformed right hand. In 1978, in a parotid gland biopsy we found a complete formation of lymph follicles with germinal centers which mimicked Hashimoto's thyroiditis, pathologically.
Sicca syndrome alone such as xerostomia and keratoconjunctivitis sicca should be separated and termed as Sjögrens disease and only when rheumatoid arthritis or other collagen diseases are included in this disease, should the term Sjögren's syndrome be used.
The diagnosis of Sjögren's disease should be made only when a parotid gland biopsy shows the appearance of lymph follicles with germinal centers or massive lymphocytic infiltration.抄録全体を表示PDF形式でダウンロード (3641K) -
石井 宏典, 高橋 宏明1979 年 72 巻 10 号 p. 1367-1371
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリーA mixed tumor of the right submaxillary gland was removed surgically from a 20 year old Japanese woman.
Microscopically, it was a “so-called mixed tumor” and consisted of myxomatous, adenomatous, and chondromatous elements.抄録全体を表示PDF形式でダウンロード (2842K) -
毛利 学, 西尾 正寿, 毛利 純, 島津 薫1979 年 72 巻 10 号 p. 1373-1377
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリーIn performing tonsillectomies, we observe the following precautions: (1) the operation is performed under general anesthesia with fluothane with nitrous oxide and oxygen. (2) local epinephrine injection for the control of postoperative hemorrhage is avoided as there is the risk of evoking postoperative bleeding from reactive vasodilatation after the peripheral vasoconstrictive effect of the drug has worn off. (3) hemostasis is accomplished by ligation of vessels encountered during extirpation.
During the past nine years, a total of 284 tonsillectomies among patients ranging from three to thirty-eight years were performed, adhering to these three principles. Gratifying results were obtained in 282 cases. Postoperative hemorrhage occurred in 2 patients. Examination of the surgical wound by direct laryngoscopy revealed the cause of bleeding to be loosening of a ligature. Another complication was dislocation of a central incisor in one case.抄録全体を表示PDF形式でダウンロード (2165K) -
綿貫 幸三, 小野寺 亮, 西条 茂, 飯野 ゆき子, 佐藤 雅弘, 郭 安雄, 小林 俊光, 六郷 正暁, 柴原 義博, 佐久間 真弓, ...1979 年 72 巻 10 号 p. 1379-1385
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリー58才, 女性. 下咽頭腫瘍による咽頭喉頭頸部食道摘出例にをける再建頸部食道術後狭窄の治療経験をのべた.
(1) 局所皮弁及び一部遊離植皮を用いる方法による食道再建であるが, 4年3ヶ月で狭窄を生じた.
(2) 食道再建術後長期間を経て生じた瘻孔形成, 食道は狭小に起因する可能性をチェックする必要がある.
(3) 狭窄部瘢痕を摘出したのち粘膜縫合を行い, 経鼻胃管のみを留置していても, いづれ抜管後に再狭窄を生ずる可能性がある.
(4) 狭窄部の処置は, DP皮弁にて新しく食道を作り変える等の, 根本的方法をとる方がよいように思われる.
(5) 症例によっては, 食物の経口摂取を可ならしめながら, 食道持続拡張プロテーゼを長期間留置 (本例では5ヶ月) する方法も考慮されてよいと思う.抄録全体を表示PDF形式でダウンロード (3864K) -
小野 寿之, 阪上 博史, 大島 渉, 西村 秀夫1979 年 72 巻 10 号 p. 1387-1392
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリーA 49-year-old female complained of a foreign body in the esophagus. An X-ray examination showed an artificial tooth which had 4 hocks, located in the esophagus. This tooth was removed with the patient under general anesthesia. After the extirpation, the patient was given an injection of Vitamin K-2, Transamin, Adona, Reptilase, and Vitamin C. Immediately after the injection, anaphylactic shock occurred. Emergency therapy was employed and she was discharged 12 days later.
Side effects with hemostatics are rare and mild. However, since severe shock may occur, all abuse should be avoided.抄録全体を表示PDF形式でダウンロード (504K) -
二木 隆, 森本 正紀, 与座 朝義1979 年 72 巻 10 号 p. 1393-1401
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリー1. 末梢性眩暈症30例に対しイソプロテレノール徐放剤 (KIP) を2週間, 6ヵ プセル1日の投与をし, 自覚症状, 並に他覚所見に関する open trial を行った.
2. 自覚症状では, 回転性眩暈 (84.2%), ふらつき (82.6%), 嘔気 (69.2%) と比較的良好な成績を得たが, 蝸牛症状に見るべきものはなかった.
3. 他覚所見としては, 温度試験において1%の有意水準で, 左右迷路興奮性のアンバランスが改善されることが示された.
4. 聴力, 自発眼振, 足踏試験等, 他の他覚所見には見るべき改善はなかった.
5. 脱落は3例, 副作用は3例だが重篤なものはなかった.
6. 本剤は抗めまい剤として優ると考えられる.抄録全体を表示PDF形式でダウンロード (727K) -
古閑 次夫1979 年 72 巻 10 号 p. 1403-1414
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリーThe state of degeneration and the resulting reactions were studied in grown cats subjected to damage of the Fallopian canal.
1) By sharply amputating the nerves and obstructing their regeneration, I studied the rate of nerve degeneration and the process of cell number decrease for a period of time, in an attempt to discover a particular pattern.
The degeneration rate was found to increase after the amputation and reached a peak of 33% at 2 weeks. The rate then decreased to 0% in 4 weeks. The number of cells also decreased gradually during the period.
2) Another observation was made by binding and applying pressure to the nerve trunk of 1/2, 1/3 and 2/3 size of the diameter.
As a result, the degeneration of motor nuclear cells reached a peak of 37% in 2 weeks regardless of the severity of pressure. In 10 weeks, the degeneration decreased to near 0%. The rate of decrease in number of cells, however, varied according to the severity of the pressure.
3) In another case, the binding was removed during the course of study and the rate of degeneration and the cell-number decrease was observed in those cases.
The effect of relieved pressure on degeneration reached a peak on or before the 12th day after the operation. This finding parallels observations made in experiments on the decompression of peripheral nerves by Yamamoto & Fisch. (Proceedings, Third Int. Symposium on Facial Nerve Surgery, 1976.)
From the above findings, the dynamics of degeneration of cells were clarified and clinical problems such as partial treatment of Bell's palsy and synkinesis were further explored.抄録全体を表示PDF形式でダウンロード (4358K) -
熊沢 忠躬, 本庄 巌, 本田 啓二1979 年 72 巻 10 号 p. 1415-1423
発行日: 1979/10/01
公開日: 2011/11/04
ジャーナル フリーインピーダンスメーターによる動的な耳管機能検査法の2種を試みその有用性を確認した. その原理はバルサルバ通気および嚥下時に惹起される鼓膜の変位を, 鼓膜インピーダンスの変化とし記録するものであり, 第1法はインピーダンスメーター内蔵の圧トランスジューサーを鼻咽腔圧用に転用し, 2チャンネルレコーダーを用いて鼓膜インピーダンスと鼻咽腔圧とを同時記録する方法である. 第2法はこの簡便法としてインピーダンスメーターのみを用い, バルサルバ通気および嚥下時の鼓膜コンプライアンスを付属のXYレコーダーで経時的に記録する方法である. いずれの記録波形も耳管を通じての空気の流入, 流出相を一つのパターンとして記録する事が出来, 耳管の自・他覚的所見とも極めて一致した. 耳管機能検査にインピーダンスメーターを利用する事により, 従来よりも簡便に耳管検査が行い得る様になったと考えられる.抄録全体を表示PDF形式でダウンロード (758K)
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