巻号一覧
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74 巻, 6 号
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聴性脳幹反応検査からの考察細川 智, 北條 和博, 相馬 博志1981 年 74 巻 6 号 p. 1377-1384
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリー小脳に mass lesion を認あた11例の小脳疾患に神経耳科学的検査を総合的に行ない, 小脳障害にみられた異常眼運動と聴性脳幹反応所見とについて比較検討した. 小脳疾患の眼振には多彩な所見がみられ, ことに脳幹障害の症状を合併していることが多かった. 一方, 小脳疾患の聴性脳幹反応は脳幹実質に病巣を認めた1例を除き, 全例が正常パターンを示した. 小脳に主病変があり二次的に脳幹障害を伴う小脳・脳幹障害での聴性脳幹反応は正常波形を描くことから, 小脳疾患と脳幹疾患との鑑別に有益な検査法と期待された.抄録全体を表示PDF形式でダウンロード (8330K) -
山内 盛雄, 山本 悦生, 庄司 和彦, 内藤 泰1981 年 74 巻 6 号 p. 1385-1392
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリーRetrospective study of chronic otitis media on 339 cases was carried out. The results were summarized as followed;
1) Many kinds of pathogenic micro-organisms were isolated, consisting of 25 species with 427 strains. The frequency of mixed infection was 23.0 percent of the total cases.
2) Staphylococcus aureus was the most frequent species detected from otorrhea, followed by pseudomonas aeruginosa, proteus inconstans, proteus mirabilis, staphylococcus epidermidis and the other 20 species of low incidence.
3) Genus proteus bacilli were isolated with significantly higher incidence from otorrhea of cholesteatoma than that of chronic suppurative otitis media.
4) The results of the antimicrobial agent susceptibility test revealed that the combined use of SBPC with GM was the most effective regimen for the emergent stage of chronic otitis media such as otogenic intracranial complications.抄録全体を表示PDF形式でダウンロード (1042K) -
北 真行, 森 弘1981 年 74 巻 6 号 p. 1393-1400
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリーAuditory and equilibrium function tests were performed in 22 patients with fresh Bell's palsy and 14 patients of fresh Hunt's syndrome. The seral antibody titer of the following 6 viruses was measured by the complement-fixating reaction. The 6 viruses were herpes zoster, herpes simplex, adeno, mumps, and influenza type A and B viruses.
In Bell's palsy, viral infection was found in 10 cases of the above 22 cases. Auditory and/or equilibrium dysfunction were observed in 12 cases of Bell's palsy and 9 cases of Hunt's syndrome. In Bell's palsy, mainly auditory dysfunction was observed in the viral infection group, and equilibrium dysfunction was observed in the uninfected group. In Hunt's syndrome, auditory dysfunction was observed in 8 cases, and equilibrium dysfunction was observed in 5 cases. In 4 of these, both auditory and equilibrium dysfunctions were observed.
According to the above results, it is suggested that the viral infection group, especially zoster sine herpete, comes in the middle of the non-viral infection group of Bell's palsy and Hunt's syndrome.抄録全体を表示PDF形式でダウンロード (936K) -
松本 康, 柳原 尚明, 中村 光士郎1981 年 74 巻 6 号 p. 1401-1407
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリーBell 麻痺新鮮例 (発症1週以内の例) でSRを測定しえた69例につき, その予後につき電気診断法, 顔神麻痺程度のスコア値と比較検討を行ない次のような結論を得た.
(1) 初診時SR検出不能例は約67%にみられた. SR検出例は電気診断法で神経無動作と診断されており, 予後は可良であった.
(2) SRを経過観察しえた40例中では発症4週目に回復した症例が最も多かった.
(3) 予後良好群35例の平均治癒日数は26.3日であった. そのうち初診時にSRの残存した群は20.5日で最も短かった.
(4) 完全回復の時点でSR検出不能例が予後良好群35例中9例 (25.7%) にみられた. この群の平均治療日数は23.4日であり, 比較的早期に完全回復する症例ではSRの回復が表情筋の回復より遅れる傾向があり, SRの易受傷性, 回復遅延によるものと推論した.
(5) 以上の事から, Bell 麻痺新鮮例の予後判定にあたってはSR測定は補助的な意味しか持たないものと結論した.抄録全体を表示PDF形式でダウンロード (2101K) -
市野 幸則, 宮村 健一郎, 田中 憲雄, 大渕 正博, 土生 健二郎, 石川 哮1981 年 74 巻 6 号 p. 1409-1415
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリーThree cases of paranasal mucocele with blindness were reported.
Case 1. The patient, a 69-year-old female, complained of headache, right blindness, and right exophthalmos which took a very slow course. CT showed a large high density area in the sphenoid sinus and right ethomoid cells. Under the suspection of a sphenoid mucocele or a pituitary tumor, an operation was undertaken. It was confirmed that a large sphenoid mucocele had destroyed the orbital wall and was pressing upon the optic nerve.
Case 2. The patient, a 58-year-old male, complained of left exophthalmos and left blindness which took a very rapid course. He suffered from fever, left orbital pain and swelling of the left eye for about ten days, and then he lost his sight. It seemed that these symptoms were caused by orbital cellulitis complicated with frontal pyocele.
Case 3. The patient, a 36-year-old female, complained of left blindness without exophthalmos. On operation it was revealed that ethomoid mucocele pressed against the optic nerve and caused the loss of sight in the left eye.
Although other symptoms were alleviated, the visual acuity remained null in all three cases. Review was made in particular of the mechanism of blinding caused by mucocele.抄録全体を表示PDF形式でダウンロード (3685K) -
徳橋 宏俊, 丘村 熙1981 年 74 巻 6 号 p. 1417-1422
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリーIn xerosialography a xeroradiographic technique is applied to the conventional sialography. Xerosialograms of normal and diseased salivary glands were compared with those of conventional sialograms. On account of the edge effect of xeroradiography, fine branchings of the salivary ducts and glandular structures are clearly delineated by the xerosialography. The technique is particularly advantageous when the conventional sialogram fails to demonstrate the ducts and the glands overlapping the bone. Differentiation between normal and abnormal tissues is clearer, and location of the neoplasma in the parotid gland is more easily recognizable. Further improvement is needed, however, in order to reduce radiation exposure.抄録全体を表示PDF形式でダウンロード (4593K) -
田中 信三, 田辺 正博, 一色 信彦1981 年 74 巻 6 号 p. 1423-1430
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリー1) 男性で声の高すぎる症例5例に対して, 前筋切断術と甲状軟骨形成術III型を施行し, 著明なピッチの低下を得た. これらの症例は何れも心理的機能的治療が無効に終った変声障害である. こうした変声障害に対しては, いたずらに時間を費すことは得策とは言えず, 積極的に手術を行なうのがよいと考える.
2) 女性で声の低すぎる症例9例に対して, 甲状軟骨形成術IV型を施行し, 良好なピッチの上昇を得た. 特に, 不可逆的と考えられている男性化音声の例に対しては, 甲状輪状軟骨接近術は安全で確実な手術法であることが示された.抄録全体を表示PDF形式でダウンロード (4857K) -
矢野 三郎, 秋吉 正豊, 今沢 孝喜1981 年 74 巻 6 号 p. 1431-1438
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリーThe present study was conducted to evaluate the effect of Diphenidol on the peripheral vascular system of the inner ear of guinea pigs.
Diphenidol was administered at 100mg/kg into the stomach of guinea pigs under a Nembutal anaesthesia.
The following conclusions were obtained.
Sixty minutes after the administration of Diphenidol, increase in the diameter of the blood vessels was noted in the radiating arterioles and the capillary network of the stria vascularis at every turn of the cochlea. The increase in diameter was also seen in the subepithelial capillary networks of the maculae and cristae ampullares of the vestibule.抄録全体を表示PDF形式でダウンロード (6557K) -
武田 一雄, 吉田 政雄, 柴田 伊十児, 藤沢 俊二1981 年 74 巻 6 号 p. 1439-1449
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリーStudy was made on the effect of Histaglobin for the patients suffering from cedar pollinosis.
Of the 30 patients, 10 were administered 2 vials per week, and 20 were administered 3 vials per week. Total dosage was 18 vials for both groups. The effects for the 2 groups were compared from each other.
Histaglobin was proved to be very effective for cedar pollinosis in both groups, in terms of subjective as well as objective symptoms.
The effect for the second group was higher than the first group.
No adverse reaction was observed in either group.抄録全体を表示PDF形式でダウンロード (932K) -
松岡 出, 伊藤 寿一, 藤本 栄, 笹 征史, 高折 修二1981 年 74 巻 6 号 p. 1451-1457
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリーElectrophysiological study was performed to determine the role of acetylcholine (ACh) on the vestibular transmission using iontophoresis method. Monosynaptic spike generation of lateral vestibular nucleus (LVN) neuron with vestibular nerve stimulation was blocked by iontophoretic application of atropine and GABA. In addition, iontophoretic ACh and glutamate produced an increase in spike firing of the monosynaptic neurons in the LVN. Atropine antagonized spike firing elevation with ACh unaffecting that with glutamate, however, GABA blocked both ACh- and glutamate-induced spikes. These results strongly suggest that ACh plays the role in neurotransmission from the vestibular nerve to the LVN monosynaptic neuron.抄録全体を表示PDF形式でダウンロード (646K) -
誘発 (加算) 筋電図検査, 眼瞼振動検査, 眼瞼微細振動測定による検討村田 志朗1981 年 74 巻 6 号 p. 1459-1489
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリーA completely ideal and handy diagnostic test for facial paralysis has not yet been established. The effectiveness of the electrical test has been reported. It has, however, a few faults. For example, its reliability, the uneasiness patients feel and the actual impossibility of daily and continual testing. We, therefore, had to devise a surer electrical method as well as some supplemental methods for easier and handier diagnosis of facial paralysis.
(I) The averaged potentials of the orbicularis oris muscle (ORm) and the orbicularis oculi muscle (OLm) was registered which were evoked by supramaximal electrical stimulation (from 8 to 32 times) by way of coaxial needle electrodes. Statistically, the latencies from 60 normal subjects were less dispersed (mean 3.2msec, standard deviation 0.45; ORm: mean 2.9msec, Standard deviation 0.42; OLm) than both their duration and amplitude. There were variously oifferent features in 120 patients. In patients with moderate denervation longer latency and reduced amplitude were found. In patients with advanced denervation, reduction of amplitude and intermittent lack of response in the graph were occasionally observed.
(II) The lid vibration test (vibration divided into four stages from “0” to “3” according to its intensity) was performed on 60 patients. Some patients healed completely. The vibration stage of these patients went down at first but without getting to “0” (no vibration at all) it recovered speedily to “3” (normal condition). Other patients whose vibration stage once reached “0” had difficulty in recovery except for 18% of the people. This lid vibration stage has a correlation with the NMU-spike-discharge stage of OLm in the process of recovery.
(III) Twenty-two subjects were examined quantatively with respect to microvibration (MV) on the lid surface with a crystal pick up and analyzed by a data analyzer. Ordinarily, voluntary contraction of OLm brought enlarged amplitudes compared with that when not contracted. But in the case of paralyzed patients, the contraction did not show such noticeable amplitudes. Therefore, the ratio of the mean MV amplitude when contracted to the mean when not contracted showed whether a patient was recovering favorably or not.
(IV) The lid vibration test is a handy and both diagnostically and prognostically effective method which supplements the electrical test. Quantative measurement of MV on the lid surface is also an effective diagnostic method.抄録全体を表示PDF形式でダウンロード (5723K) -
川野 通夫, 一色 信彦1981 年 74 巻 6 号 p. 1491-1494
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (395K) -
山田 美代子, 川野 通夫1981 年 74 巻 6 号 p. 1495-1498
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (468K) -
田野口 二三子1981 年 74 巻 6 号 p. 1499-1503
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (406K) -
萩尾 藤江1981 年 74 巻 6 号 p. 1504-1508
発行日: 1981/06/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (531K)
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