巻号一覧
45 巻 (1996)
- 4 号 p. 1025-
- 3 号 p. 673-
- 2 号 p. 339-
- 1 号 p. 1-
45 巻, 4 号
選択された号の論文の68件中51～68を表示しています
-
家坂 一穂, 平川 敬, 高下 光弘, 内納 正一1996 年 45 巻 4 号 p. 1219-1222
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーA case of multiple neurilemmoma in the cauda equina, the posterior mediastinum and peripheral nerves is reported. A 24 year old male presented with gait disturbance and muscle weakness in the lower extremities. His past history included the presence of multiple neurilemmomas in the left upper extremities.
Myelography and MR imaging showed tumors in the intradural space between the thoracic level and the sacral level. All resected tumors showed the same pattern of Antoni A tissue and Antoni B tissue. In comparing this patient with neurofibrolmatosis type 2, we conclude that the diagnosis of this patient is neurilemmomatosis and not neurofibromatosis because of the absence of cardinal features of neurofibromatosis. Patients with neurilemmomatosis should be carefuly observed for the development of other neuro mas such as acoustic neurinoma.抄録全体を表示PDF形式でダウンロード (2814K) -
福元 洋一, 田島 直也, 平川 俊一, 久保 紳一郎, 田辺 龍樹, 黒木 浩史1996 年 45 巻 4 号 p. 1223-1227
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーWe report a case of hypertrophic pachymeningitis in a 64 year-old female. On August, 1994, She developed headache and pyrexia and after two months, back and low back pain appeared. Pyogenic pachymeningitis was diagnosed by analysis of spinal fluid in an other hospital. Despite antibiotic treatment, paresis of bilateral lower extremities and dysuria appeared progressively. Manual muscle testing revealed grade 4-5 strength. Sensory disturbance occurred at S2-3 level. MRI showed compression on the left anterior side at Th11-L1. Laminectomy of Th11 to L1 was performed, but the patient's symptoms didn't improve. Sixteen days postoperatively, paralysis of bilateral lower extremities suddenly appeared. Repeat surgery with laminectomy of Th9 to L2 was performed. Markedly thickened dura compressing the cord was noted and this was partially excised. Hypertrophic dura was infiltrated by pathological lymphocytes and plasmacytes, and the pathological diagnosis was chronic hypertrophic pachymeningitis. After re-operation, steroids were administered and inflammation disappeared, however bilateral lower extremity paralysis didn't improve.
This is a report of hypertrophic pachymeningitis which was difficult to diagnose and illustrates that steroids were effective in suppressing inflammation.抄録全体を表示PDF形式でダウンロード (3738K) -
菊池 太朗, 中村 孝文, 池田 天史, 千田 治道, 田口 学, 高木 克公, 前田 勇一1996 年 45 巻 4 号 p. 1228-1232
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーThirteen cases with spinal cystic lesions were operated on between August 1987 and December 1995. Three were epidermoid cysts, two arachnoid cysts, one neuroenteric cyst and one dural ganglion. The other six cases had schwannomas with central necrosis which showed a cyst-like appearance on magnetic resonance imaging (MRI). One case had a large cyst within a tumor and had been misdiagnosed as a cyst before operation.
Owing to the remarkable development of MRI, most spinal cysts can now be diagnosed correctly. However, some tumors with large cysts may give the appearance of spinal cysts. Therefore, preoperative diagnosis of spinal cysts is not always easy and needs careful evaluation of the shape and intensity of the lesions on MRI.抄録全体を表示PDF形式でダウンロード (3151K) -
永田 見生, 大橋 輝明, 石橋 和順, 廣橋 昭幸, 佐藤 公昭1996 年 45 巻 4 号 p. 1233-1237
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーWe report the clinical course of 23 cases with intramedullary disorders diagnosed by MRI. Spinal vascular disease was the most common, and occurred in 11 cases, intramedullary tumor occurred in 6, and multiple sclerosis, myelitis, spinal edema each in 2. The characteristic MRI findings of the intramedullary disorders were spinal cord swelling on T1 weighted image and changes in the intensity on the T2 weighted image. Surgical treatment was performed in 5 of the 11 with spinal vascular disease and in 6 with an intra-medullary tumor. One patient with AV malformation underwent embolization of the spinal artery. The other 11 received conservative treatment. The period of follow-up ranged from 6 months to 9 years after onset. Complete recovery from symptoms was achieved in only 2 patients, some recovery was achieved in 8, no change in 10, and deterioration occurred in 3.
In conclusion, it has become easy to diagnose intramedullary disorders by utilizing MRI. However, an accurate qualitative diagnosis is difficult except for spinal vascular disease. Complete recovery from the symptoms of intramedullary disorders remains difficult to achieve by available treatments.抄録全体を表示PDF形式でダウンロード (2699K) -
野尻 良基, 松元 光生, 富村 奈津子, 松永 俊二, 伊知地 修1996 年 45 巻 4 号 p. 1238-1240
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーWe report a case of infantile septic arthritis of the shoulder. A 13 month-old boy caught varicella after recovering from the measles. He had continuous fever, and MRSA was detected in his blood. A few days later, he could't move his left arm, and abnormal fluid was shown in his left shoulder demonstrated by MRI. The pus was aspirated and MRSA was detected in the joint fluid. Irrigation with VCM and drainage were performed. VCM, ABK and MINO were administered until laboratory data returned to normal levels. At follow-up the patient has no limitation in ROM and no other symptoms.抄録全体を表示PDF形式でダウンロード (1515K) -
中村 英一, 水田 博志, 白石 稔, 高木 克公, 久保田 健治1996 年 45 巻 4 号 p. 1241-1244
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーRieger's syndrome is a disease of mesodermal dysgenesis of the cornea and iris associated with nonocular (teeth, bone and joint etc.) developmental defects. The patient is a 17-year-old girl, who complained of leg length discrepancy. She had Rieger's anomaly characterized by posterior embryotoxon, hypoplasia of the anterior leaf of the iris and strands bridging over the iridocorneal angle associated with hydroceplalus, flat nasal root, sensory deafness, mitral insufficiency, shortening of her left lower extremity. The leg length discrepancy measured by the spina-malleolar distance was 3.5cm. Radiographic findings showed hypoplasia of the maxilla, defects of upper teeth, flattened femoral head, hypoplasia of the distal femoral and distal tibial epiphyses. These clinical and radiographic findings confirm the diagnosis of Rieger's syndrome.抄録全体を表示PDF形式でダウンロード (2198K) -
辻本 律, 寺本 司, 中村 智, 岩崎 勝郎1996 年 45 巻 4 号 p. 1245-1250
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーWe report two cases of suspected bone infarction diagnosed by MRI. In the first case clinical findings were not significant, but serological data revealed an inflammatory reaction with the white blood cell count of 6, 800/ml, C reactive protein level of 3.2mg/dl, and erythrocyte sedimentation rate of 49.8mm/hr. In the second case, no other abnormality was observed besides calcaneal pain.
Both cases were suspected of bone infarction on MRI. However the first case was pathologically diagnosed as osteomyelitis, and Streptococcus anginosus was cultured. The second cese was pathologically diagnosed as bone infarction.
Although Streptococcus anginosus rarely causes osteomyelitis, it occasionally does in immuno-suppressed patients. Absence of clinical findings is characteristic of osteomyelitis due to this organism and its MRI findings are similar to bone infarction. Therefor careful investigations are necessary for diagnosing immuno-suppressive diseases in cases of suspected bone infarction on MRI.抄録全体を表示PDF形式でダウンロード (5523K) -
抗生剤含有骨セメント使用例谷畠 満, 柏木 輝行, 帖佐 悦男, 桑原 茂, 田島 直也1996 年 45 巻 4 号 p. 1251-1254
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーRegardless of advances in antibiotics and surgical treatment, bone and joint infections remain refractory diseases. We report on 5 patients treated with antibiotic impregnated PMMC beads. Subjects included 3 men and 2 women with a mean age of 49.4 years (range: 4-74 years) with an average follow-up of 4 years 1 month (range: 1 year 3 months to 7 years 4 months). We treated 3 cases of osteomyelitis and 2 cases of postoperative infections by mixing antibiotics at 3 times the maximum dose with PMMC beads, and inserted them for 3 to 11 weeks (mean 5.8 weeks). We measured the serum concentration of antibiotics after inserting the antibiotic-PMMC beads, and investigated the amount of antibiotic leaching into the surrounding tissue. All cases improved on clinical examination, and made satisfactory progress. We confirmed that the treatment of bone and joint infection by antibiotic-PMMC beads was safe ad effective.抄録全体を表示PDF形式でダウンロード (2504K) -
河野 修, 芝 啓一郎, 植田 尊善, 白澤 建蔵, 大田 秀樹, 森 英治, 力丸 俊一, 加治 浩三, 阿久根 広宣, 三原 隆, 松倉 ...1996 年 45 巻 4 号 p. 1255-1258
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーThe lumbosacral plexus innervation is variable, making the diagnosis of lumbar spinal disease according to lower extremity symptoms complicated. We investigated lower extremity myotomes by recording the compound muscle action potential (CMAP) during lumbar spinal surgery in six L4 roots, twenty-four L5 roots and fourteen S1 roots. At L4 root, innervation to only Quadriceps is 33%, to Quadriceps and Tibialis Anterior is 50%, to Quadriceps, Tibialis Anterior and Gastrocnemius is 17%. At L5 root, the innervation to only Tibialis Anterior is 41%, to Tibialis Anterior and Gastrocnemius is 59%. At S1 root, the innervation to only Gastrocnemius is 57%, to Gastrocnemius and Tibialis Anterior is 43%. Knowledge of the relationship of L4 root to Quadriceps, L5 root to Tibialis Anterior, S1 root to Gastrocnemius are required. 3 out of 9 cases also had different innervation between their right and left sides.抄録全体を表示PDF形式でダウンロード (2388K) -
白仁田 厚, 奥江 章, 草場 謙, 中島 勝也, 岸川 陽一, 上ノ町 重和, 蔵重 芳文, 松田 秀策1996 年 45 巻 4 号 p. 1259-1264
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーWe investigated soccer sports injuries and trauma in junior high school athletes in Saga prefecture by questionnaire and direct examination.
Regarding past history of injury, sprain was the most common. 212 (26.4%) athletes were not satisfied with their play due to pain and its after effects. As a result of direct examination, knee injuries comprised 46.3% of all injuries and of all knee injuries, Osgood-Schlatter's disease was the most common. Osgood-Schlatter's disease occurred more often in the opposite side rather than in the predominant side.
It was thought that pain in the spina iliac anterior inferior area was due to repetitive and excessive traction force for the insertion of rectus femoris muscle caused by the muscular force itself and the transmitted impact-force at kicking the soccer ball.
In order to prevent chronic injuries in the junior high school athletes, we emphasize the effectiveness of sufficient stretch for the muscles of the lower extremities.抄録全体を表示PDF形式でダウンロード (457K) -
野々村 淳一, 萩原 博嗣, 中家 一寿, 徳永 真巳1996 年 45 巻 4 号 p. 1265-1268
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーHypertrophic osteoarthropathy is a syndrome with the following principal signs: clubbed fingers, periostitis of long bones and arthritis. We observed two brothers with this syndrome. The elder brother complained of hydrarthrosis of the left knee, and their illness was diagnosed as idiopathic hypertrophic osteoarthropathy.
Case report: A 26-year-old male noted clubbed fingers when he was about sixteen years old. He had hydrarthrosis of the left knee repeatedly from aged eighteen years. There was nil of note in his past history.
Family history: The patient's younger brother is twenty-four years old. He noted clubbed fingers when aged approximately fifteen years old. He has had no knee joint symptoms. An inflammatory reaction was not recognized in the blood examination. Periosteal hypertrophy of long bones in the upper and lower extremities was recognized on X-ray. Abnormal high uptakes of long bone around the knee joint was recognized on bone-scintigraphy.
Open synovectomy was performed using the medial parapatellar approach for hydrarthrosis of the left knee.
The patient was given 20mg/day of tamoxifen citrate, for six months, and then given 0.5mg/day of colchicine for a month. Despite this treatment the patient's left knee hydrarthrosis has not improved.抄録全体を表示PDF形式でダウンロード (2659K) -
河野 修, 芝 啓一郎, 植田 尊善, 白澤 建蔵, 大田 秀樹, 森 英治, 力丸 俊一, 加治 浩三, 阿久根 広宣, 三原 隆, 吉兼 ...1996 年 45 巻 4 号 p. 1269-1274
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーWe evaluated the operative results in 7 cases of spinal arachnoid cyst. 6 cases had intradural arachnoid cysts, and one was extradural. No cases had a history of trauma and all were located on the dorsal side of the spinal cord. All cases were treated by laminectomy and partial resection of the arachnoid cyst. At post-operative follow-up all cases were good or fair, with no excellent or poor cases.
Spinal arachnoid cyst is a slowly progressive disease with spinal cord atrophy, making it difficult to obtain excellent results by surgical treatment. Spinal arachnoid cysts should be diagnosed and treated surgically as soon as possible.抄録全体を表示PDF形式でダウンロード (4706K) -
徳永 真巳, 萩原 博嗣, 中家 一寿, 野々村 淳一1996 年 45 巻 4 号 p. 1275-1278
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーPress Fit Condylar total knee replacement has been performed in 22 knees (17 cases) since 1994.
Eleven cases were for osteoarthritis and 6 cases for rheumatoid arthritis. The mean age of the patients was 72.1 years (range: 50 to 82 years).
Roentgenographic measurement was taken of the femoral component flexion angle and the width/depth ratio of the tibia and tibial tray.
The mean femoral component flexion angle was 3.8 degrees. Significant differences were seen between the width/depth ratio of the tibia and tibial tray (p=0.04).
To avoid sagittal malalignment of the femoral component, we recommend that a preoperative alignment plan is made and that a large amount of intercondylar bone spur is resected especially for cases of severe anteverted femur.
In some cases, the size of the tibia and tibial tray were mismatched. Therefore it is desirable that a greater variety of tibial tray sizes are supplied to provide better adaptation for various tibial shapes.抄録全体を表示PDF形式でダウンロード (2791K) -
久保田 晃志, 志田原 哲, 山口 美弘, 桑畑 睦郎, 桶谷 寛1996 年 45 巻 4 号 p. 1279-1281
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーWe studied the complications following femoral neck fractures in 386 patients over the age of 50 years. Circulatory disorders and urinary tract diseases were the most frequently reported complication. The most important factors associated with a good prognosis were stopping bed-rest as soon as possible after surgical treatment and prevention of decubitus and other complication.抄録全体を表示PDF形式でダウンロード (240K) -
菊野 竜一郎, 前原 東洋, 吉永 一春, 中川 雅裕1996 年 45 巻 4 号 p. 1282-1285
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーThis case report describes a patient with sciatica resulting from Rt S1 nerve root compression by a gas-containing cyst. MRI and CT showed gas in the spinal canal with compression of the Rt S1 nerve root.
At surgery, the nerve root was seen to be elevated by a gas-containing mass. After aspiration and removal of the cyst the patient's radicular pain and hypesthesia resolved.抄録全体を表示PDF形式でダウンロード (1389K) -
1996 年 45 巻 4 号 p. 1286-1292
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーPDF形式でダウンロード (661K) -
1996 年 45 巻 4 号 p. 1293-1296
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーPDF形式でダウンロード (359K) -
1996 年 45 巻 4 号 p. 1297-1304
発行日: 1996/09/25
公開日: 2010/02/25
ジャーナル フリーPDF形式でダウンロード (828K)