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80 巻, 6 号
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松永 亨1987 年 80 巻 6 号 p. 865-878
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーAutonomic nervous system function tests in patients with vertigo or dizziness were classified and carried out as follows;
1) Tone of the sympathetic nervous system,
2) Sensitivity of adrenergic receptors,
3) Activity of the sympathetic and parasympathetic nervous system,
4) Reflex functions of the autonomic nervous system.
Although patients with vertigo, especially with Meniere's disease, did not show
organic disturbances of sympathetic tone, the decreased activity of the parasympathetic nervous system predisposed them to symptoms, and the reflex functions of their sympathetic nervous systems were accelerated. Moreover, the difference in the side of cervical sympathetic nervous activity was verfied by the restoration of the skin temperature after the immersion of both hands in cold water. Patients with Ménière's disease showed a marked lateral difference in the restoration process during the attack, but not between attacks.抄録全体を表示PDF形式でダウンロード (1624K) -
瀧本 勲1987 年 80 巻 6 号 p. 880-881
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (3010K) -
岡本 牧人, 設楽 哲也, 籾山 安弘, 樋口 彰宏, 吉尾 知1987 年 80 巻 6 号 p. 883-889
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーPatients with sudden deafness whose audiogram patterns revealed a gradual rise in high frequency hearing loss were investigated. We called these “down slope audiogram patterns”.
Thirteen percent of patients with idiopathic sudden deafness had down slope audiograms. They were older than the other patients with sudden deafness. The incidence of vertigo in this group was less than in other sudden deafness groups. Her-
pes simplex virus (HSV) antibody titers were higher in this group.
Twenty three percent of the patients with sudden deafness of down slope type had sensori-neural hearing loss in the contralateral ear. Eighty percent of the patients with HSV serum antibody titers 1: 32 or higher had contralateral hearing loss. Thus, HSV infection may be one of the causative factors of idiopathic sudden deafness.
The cure rate was 29%, which is satisfactory for the sudden deafness of down slope type, because in other reports the prognosis has been very poor. Of those cured, eight had contralateral hearing loss. In six of the eight patients the cause of hearing loss was probably due to aging.
The differential diagnosis between sudden deafness and bilateral idiopathic progressive sensori-neural hearing loss is discussed.抄録全体を表示PDF形式でダウンロード (733K) -
―正常者と眩暈症例の比較―初鹿 信一, 船坂 宗太郎, 佐藤 恒正, 鈴木 秀明1987 年 80 巻 6 号 p. 891-898
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーFrequency analysis was performed on the movement of the body centroid when standing upright. Subjects were divided into four groups:normal, vertigo of central origin, vertigo of peripheral origin during an attack and between attacks.
Each group consisted of twelve subjects. The characteristic frequencies of X-and Y-moment of the body centroid were obtained by Fourier Analysis in each group.
The power supectral in twenty-one frequency bands of 0-3 Hz were compared among these four groups.
1) The normal group had a slow frequency component of less than 1 Hz (in particular, less than 0.5 Hz), while the vertigo groups, especially the central origin group, had a faster frequency component.
2) Between the normal and the vertigo groups, except the peripheral vertigo group between attacks, there was a significant difference in the X with eyes open in the frequency band of 0.5857 Hz-0.7320 Hz (Band 5), with eyes closed in the band of 0.2929 Hz-0.8784 Hz (Bands 3-6), and in the Y with eyes closed in the band of 0.1465 Hz-1.0248 Hz (Bands 2-7).
3) Between the vertigo groups of central and peripheral origin, there was a significant difference in the X with eyes closed in the frequency band of 0.2929 Hz-0.8784 Hz (Bands 3-6), and in the Y with eyes closed in the band of 0.1465 Hz-1.0248 Hz (Bands 2-7).抄録全体を表示PDF形式でダウンロード (662K) -
坂倉 健二, 原田 輝彦, 間島 雄一, 飯倉 康夫1987 年 80 巻 6 号 p. 899-904
発行日: 1987/06/01
公開日: 2011/12/12
ジャーナル フリーAngiofibromas are histologically benign tumors occurring in young men;however, they are frequently managed as malignant tumors because of their locally expansive nature, high vascularity and tendency to recur. In the majority of cases, they are attached to the roof or the posterior wall of the nasopharynx.
Recently, we have treated a patient with an extremely rare type of angiofibroma which was attached to the posterior edge of the vomer. There are few reports of this tumor occurring in the perichondrium of the vomer of the nasal septum. A 16-yearold male had an angiofibroma of the nasal septum. After selective embolization of both sphenopalatine arteries, the tumor was completely removed through a palatine approach.抄録全体を表示PDF形式でダウンロード (6968K) -
杉田 麟也, 藤巻 豊, 小栗 豊子, 出口 浩一1987 年 80 巻 6 号 p. 905-914
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーMicroorganisms were isolated from 30 cases of infectious sialoadenitis and the choice of antibiotics was studied.
1. Sixteen patients had submaxillary gland infections and 14 had parotitis.
2. Fifty-five strains of bacteria were isolated and classified:
Streptococcus pneumoniae (7.2%), Staphylococcus aureus (7.2%), Streptococcus pyogenes (5.2%), Peptostreptococcus (20%), Peptococcus (10.9%), Streptococcus intermedius (7.2%), Bacteroides (9.1%), and Fusobacterium (7.2%).
3. There were 17 strains (31%) of aerobes, and 38 strains (69%) of anaerobes.
4. S. aureus has been the main causative pathogen of parotitis, but in our series anaerobes were the most important causative pathogens in infectious sialoadenitis.
5. Antibiotics were selected according to the Expected Efficacy Index (EEI), the antibiotic of first choice being cefotiam or ampicillin for injection, and ampicillin or clindamycin per os.抄録全体を表示PDF形式でダウンロード (1054K) -
山田 弘之, 坂倉 康夫, 山際 幹和, 稲守 重治1987 年 80 巻 6 号 p. 915-919
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーAcute suppurative thyroiditis is one of the thyroid inflammatory diseases and is a rare condition. The pathogenesis was usually uncertain, until Miyauchi et al. emphasized the significance of the internal fistula originating from the apex of the left piriform sinus as the route of infection to the thyroide. We describe here a case of repeated suppurative thyroiditis in a 17-year-old female with a piriform sinus fistula. The infection may spread to the thyroid through this fistula. Infection through a fistula of the piriform sinus is the most important cause of suppurative thyroiditis. Therefore, a barium study is necessary. Hemithyroidectomy was done, taking care to follow the fistula tract and remove the fistula completely to avoid recurrence.抄録全体を表示PDF形式でダウンロード (5714K) -
稲井 英樹, 福島 英行1987 年 80 巻 6 号 p. 921-926
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーMost parathyroid adenomas cause primary hyperparathyroidism with various clinical manifestations besides hypercalcemia, such as urolithiasis, pathological bones, peptic ulcer, etc. onsequently, they are usually found when still small. A 70-year-old female was admitted with dyspnea due to airway obstruction by tracheal compression and a cervical tumor. Biopsy after tracheostomy revealed probable benign parathyroid tumor. The tumor was removed. It weighed 98 grams and was a nonfunctioning oxyphil cell adenoma. A parathyroid adenoma of this size has rarely been reported in the world literature. The diagnosis and management are discussed, and the literature is reviewed.抄録全体を表示PDF形式でダウンロード (4737K) -
平野 実, 栗田 茂二朗, 立石 守夫, 松岡 秀隆1987 年 80 巻 6 号 p. 927-933
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーThe duration of nasogastric tube feeding was related to various factors which might contribute to the swallowing function following supraglottic laryngectomy in 38 consecutive cases. The following conclusions appear to have been justified:
1) In the standard technique, the upper part of the thyroid cartilage, the epiglottis, the pre-epiglottic space, the anterior part of the aryepiglottic folds and the false folds are removed, and cricopharyngeal myotomy and approximation of the larynx to the base of the tongue are performed following the removal. This standard procedure usually does not cause serious swallowing problems.
2) Additional removal of the hyoid bone, a part of the base of the tongue and/or the upper part of the vocal fold (s) does not interfere significantly with swallowing.
3) Excision of the arytenoid cartilage causes swallowing problems. When it has to be removed, some reconstructive procedure is required.
4) Asymmetrical removal of the false folds is significantly related to swallowing problems. No explanation for this is available.抄録全体を表示PDF形式でダウンロード (804K) -
佐藤 宏昭, 玉城 進, 三浦 誠, 大林 正, 高橋 清之, 翠川 修1987 年 80 巻 6 号 p. 935-940
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーWe present a case of cranial chordoma that recurred 8 years after radical removal of a nasopharyngeal tumor. This tumor consisted of three parts: typical physaliphorous cells, a fibrosarcomatous component and a chondrosarcomatous component. Chest X-ray showed multiple lung metastases 3 months after the partial removal of the recurrent tumor. Radiotherapy and combination chemotherapy (ADM, MMC, HCFU and OK-432) were not beneficial. The patient finally died of progressive metastatic disease. At autopsy, 9 years after diagnosis, only the fibrosarcomatous component was found in the pulmonary and vertebral metastases, and typical chordoma tissue was found in the cranial recurrent tumor. Intracranial invasion of the recurrent tumor was not observed.抄録全体を表示PDF形式でダウンロード (7211K) -
佐竹 文介, 松浦 鎮, 金子 省三, 内田 正興, 西尾 正道, 富樫 孝一, 竹生 田勝次, 谷川 譲, 武宮 三三, 河辺 義孝, 鶴 ...1987 年 80 巻 6 号 p. 941-950
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーA group study of chemotherapy for advanced head and neck cancer using CDDP, Peplomycin (or Bleomycin) and MTX was carried out at the Head and Neck devisions of 14 cancer centers in Japan. 136 cases were registered from Oct. '84 to Mar. '86. These cases were devided in to two regimens as is seen in the following methods. Regimen A
CDDP 80 mg/m2 i.v. (day 1) PEP 15 mg/m2 s.c. infusion or IVH (day 2 to 5) MTX 40 mg/m2 i.v. (day 2)
Regimen B CDDP 80 mg/body i.v. (day 4) BLM 15 mg/body i.v. (day 1, 15) MTX 20 mg/body i.v. (day 1, 5) every 3 weeks /course抄録全体を表示PDF形式でダウンロード (802K) -
兼竹 博之, 宇高 二良, 石田 達也, 平賀 智, 幸田 純治, 木原 浩文, 小池 靖夫1987 年 80 巻 6 号 p. 951-958
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーDiseases presenting withh voice tremor are rare in Japan. Much less frequent is essential tremor imputed to a central nervous disturbance and spastic dysphonia of unknown etiology. Furthermore, it is often extreme by difficult to differentiate these diseases.
Two patients with voice tremor, one with essential tremor and one with spastic dysphonia, were recently examined with various tests mainly of voice. When the patient with spastic dysphonia used her voice without the intent of communication had tremble was only to slight, and the symptom responded temporarily to superficial anesthesia with lidocaine. Furthermore, auditory feedback shut-off resulted in symptom mitigation. None of these changes could be induced in the patient with essential tremor. These findings may be of help in differentiating the two diseases.抄録全体を表示PDF形式でダウンロード (1891K) -
牧野 邦彦, 天津 睦郎1987 年 80 巻 6 号 p. 959-977
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーThe pathological conditions which cause expansion of the bony external auditory canal and accumulation of keratin debris have been considered to be of two different types. Type I is characterized by the accumulation of keratin debris and the generalized widening of the bony canal and type II by the appearance of a sac-like bone destruction which arises near the tympanic membrane.
During the past three years and ten months, we treated 73 patients with type I and only one with type II. We studied the clinical features and the pathogenesis of these two conditions.
In type I, the epithelial migration on the tympanic membrane and external auditory canal was disturbed to various extents. This disturbance of epithelial migration was proved to be a major cause of the accumulation of keratin debris. Bone resorption was found to be secondary to the accumulation of keratin debris.
Type II is a very rare condition, and it is probable that the accumulation of keratin debris is a sequela of localized sequestrative periosteitis. Therefore, these two types should be strictly differentiated. Our study indicates hat “keratosis with bone resorption”is the suitable nomenclature for type I and, as in the previous literature, “benign necrotic osteitis”for type II.抄録全体を表示PDF形式でダウンロード (7554K) -
堀 みどり1987 年 80 巻 6 号 p. 979-986
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーHistochemical quantitation of mucopolysaccharides in the maxillary mucosa was performed on postmortem specimens. The posterior and medial walls of the maxillary sinuses were removed from 27 adults with normal sinuses and 57 adults with chronic sinusitis. Both goblet cells and submucosal gland cells were stained by Alcian blue at various pH levels and with periodic acid-Schiff with or without sialidase digestion.
There was no significant difference in the number of goblet cells between the normal and chronic sinusitis specimens. Submucosal gland cells were more dense in the sinusitis than in the normal tissues, especially in the posterior maxillary wall specimens. In the goblet cells, more than 75% of the mucopolysaccharide was neutral in the normal group, and more than 90% was sulphated in the sinusitis group. In the submucosal layers, 90% of the gland cells contained neutral mucopolysaccharides in the normal group, while sulphated and sialidase sensitive mucopolysaccharides were
present i n 75% of the cells in the sinusitis group.抄録全体を表示PDF形式でダウンロード (2437K) -
藤井 一省, 佐藤 弘, 三宅 浩郷1987 年 80 巻 6 号 p. 987-997
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーLaryngopharyngeal abnormal sensation cannot be diagnosed accurately by western medical approaches, and it is often difficult to treat. Twenty six patients were given “Hange-koboku-to (半夏厚朴湯・Ban Xia Hou Pu Tang)” a Chinese medicine. Improvement was reported by 73%, marked improvement by 46%, characteristically, the clinical effect developed gradually and persisted even after treatment was stopped. These results are superior to those obtained by conventional tranquilizers and the like, suggestingthat“Hange-koboku-to”, which is a Chinese medicine for“Tan Yu(痰鬱・retention of sputum)” a Chinese pathological entity equivalent to laryngopharyngeal abnormal sensation, is a more rational medicine for this sensation.
If the time from the onset of symptoms to the first medical examination was short, there was a significantly higher rate of over.
All of the patients over 60 years of age showed improvement, but the members were too low to be statistically significant. Probably because of the description of its effectiveness in the “Jin Kui Yao Lue(金匿要略)” “Hange-koboku-to” seems to have been used mainly by women, but it is also effective in men.
Our present clinical experience was performed according to the pathological entity of laryngopharyngeal abnormal sensation and not based upon “Sho” in the strict sense essential to Chinese medicine. However, there was an obvious clinical effect without any untoward side effects.抄録全体を表示PDF形式でダウンロード (1182K) -
山際 幹和, 原田 輝彦, 久保 将彦, 大石 公子, 村井 須美子, 坂倉 康夫, 福生 治城, 伊藤 由紀子, 平田 圭甫1987 年 80 巻 6 号 p. 999-1008
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーIf the main cause of abnormal sensation in the throat were due to inflammation of the region, a majority of the patients with the sensation should be treated successfully with anti-inflammatory drugs.
In order to test the hypothesis the authors administered lysozyme chloride (Neuzym(R)), an anti-inflammatory agent, orally for 2 weeks in adosage of 270-300mg/day to 92 patients(35males and 57 females)with abnormal sensation in the throat. It was considered to be effective when the abnormal sensation improved subjectively by 50% or more. The medication was effective in 41% of the patients within one week, in 52% in two weeks and 55% in three weeks(one week after the termination of the treatment). These efficacy rates were not as high as had been expected.
Thus, the present study did not prove that abnormal sensation in the throat is a symptom closely related to inflammatory changes.抄録全体を表示PDF形式でダウンロード (1048K) -
河村 正三1987 年 80 巻 6 号 p. 1010-1011
発行日: 1987/06/01
公開日: 2011/11/04
ジャーナル フリーPDF形式でダウンロード (314K)
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