Equilibrium Research最新文献_第8页

Equilibrium Research Pub Date : 2021-12-31 DOI: 10.3757/jser.80.600

診断基準化委員会, 健担当理事 : 城倉, 新堀井, 貴夫委員長 : 今井, 誠副委員長 : 橋本, 正嗣委員 : 浅井, 卓生池田, 豪佐藤, 浩一郎重野, 幸治高橋, 泰彦武井, 正中村, 昌彦山本, 行雄渡辺, 憲昭アドバイザリー : 武田, 泉肥塚

引用次数: 3

A review of the diagnostic approaches in patients with acute vertigo, dizziness and imbalance 急性眩晕、眩晕和失衡的诊断方法综述

Equilibrium Research Pub Date : 2021-12-31 DOI: 10.3757/jser.80.516

Akihiro Nagata, H. Takeda, A. Uno

引用次数: 0

Case of a scuba diver with motion sickness 水肺潜水员晕动病个案

Equilibrium Research Pub Date : 2021-12-31 DOI: 10.3757/jser.80.550

Naoharu Kitajima, Akemi-sugita Kitajima

{"title":"Case of a scuba diver with motion sickness","authors":"Naoharu Kitajima, Akemi-sugita Kitajima","doi":"10.3757/jser.80.550","DOIUrl":"https://doi.org/10.3757/jser.80.550","url":null,"abstract":"動揺病は乗り物などの動揺環境に曝されることによって前庭神経系が刺激され,視覚系,自己受容器系よりの刺激が脳幹で統合され自律神経系を介して発症し,乗り物酔いとしてよく知られる疾患である。その発症機序として,動揺による加速度が内耳を刺激し,その結果,自律神経機能の異常をきたすとする内耳過剰刺激説(overstimulation hypotheMotion sickness (MS) is a familiar complaint among scuba divers. We examined the longterm prognoses of scuba divers suffering from MS. We report the case of a 42-year-old woman with repetitive MS. For 2 years, we tested her otolith organ function every month. The otolith organ function of each ear was tested separately via ocular counter rolling (OCR) testing, which was performed under a 30° head tilt. The R-L side asymmetry ratio for OCR values (% OCRA) was compared with the divers’ static OCR. In addition, we studied the relationship between the %OCRA and climatic factors, such as sunshine exposure duration, global solar radiation, and the UV index. %OCRA scores differed significantly (p<0.01) between our subject and the volunteer diver without MS. There were sharp fluctuations in the %OCRA of our subject diver with MS. MS was more likely to occur in the summer season, especially when the % OCRA exceeded the cutoff value (45.9). There was a significant correlation between the % OCRA and the UV index. Physiological differences in R-L otolith organ function could be involved in the onset of MS. The amount of UV light exposure and female hormone levels may affect the metabolism of the otolith organ. As MS is caused by multiple factors, otolaryngologists need to consider various causative factors beyond those related to the otolith organ function in scuba divers with MS. 原著","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44043814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Downbeat nystagmus associated with unilateral branch atheromatous disease (BAD)-type of pons infarction 与单侧分支动脉粥样硬化性疾病（BAD）型脑桥梗死相关的下降性眼球震颤

Equilibrium Research Pub Date : 2021-12-31 DOI: 10.3757/jser.80.540

J. Yokota, A. Inoshita, Yoko Yamaguchi, Atsuko Inomata

引用次数: 0

平衡訓練/前庭リハビリテーションの基準平衡训练/前庭康复训练的标准

Equilibrium Research Pub Date : 2021-12-31 DOI: 10.3757/jser.80.591

平衡訓練の基準の改訂ワーキンググループ, 糺担当理事 : 北原, 泉肥塚, 新堀井, 宏彰委員長 : 伏木, 敏彰委員 : 山中, 史行五島, 豪佐藤

引用次数: 1

A case of cerebellar infarction with vertigo and hearing loss encountered in the clinic 小脑梗死伴眩晕和听力损失1例临床分析

Equilibrium Research Pub Date : 2021-12-31 DOI: 10.3757/jser.80.585

Tadashi Nakamura

引用次数: 0

Effectiveness of Japanese herbal medicines (Kampo) for stress 日本草药(汉布)对压力的有效性

Equilibrium Research Pub Date : 2021-08-31 DOI: 10.3757/jser.80.296

Mana Tsukada, H. Ikemoto, Tatsuki Inoue, Erika Kojima, Seiya Fukuoka, M. Sunagawa

{"title":"Effectiveness of Japanese herbal medicines (Kampo) for stress","authors":"Mana Tsukada, H. Ikemoto, Tatsuki Inoue, Erika Kojima, Seiya Fukuoka, M. Sunagawa","doi":"10.3757/jser.80.296","DOIUrl":"https://doi.org/10.3757/jser.80.296","url":null,"abstract":"社会構造の複雑化に伴い,以前にはなかった人間関係の形成様式が新たなストレスとなっている。現 Several Japanese herbal medicines (Kampo), including Yokukansan, Yokukansankachimpihange, Shigyakusan, Kososan, Kamishoyosan, Kamikihito, Saikokaryukotsuboreito, Keishikaryukotsuboreito, Hangekobokuto, and Rikkunshito, are clinically used for patients with stress -related symptoms and diseases, according to the patient’s constitution and symptoms (‘Sho’ in Oriental medicine). Kamikihito and Yokukansan are prescribed for the treatment of insomnia and neurosis in Japan. However, the precise mechanisms of actions of these products remain unclear. We investigated their possible antistress effects and involvement of oxytocin in the mechanisms of their actions in an animal model of stress. Oxytocin is a posterior pituitary hormone related to uterine contraction and milking. In recent years, its effects in the central nervous system-including its antistress effect-have been attracting interest. Oxytocin is reported to reduce stress levels via regulation of activities in the hypothalamic-pituitary-adrenal axis. Administration of Kamikihito or Yokukansan significantly increased the secretion of oxytocin in acute stress situations and exerted an antistress effect. Furthermore, the effects of these drugs were partially abrogated by administration of an oxytocin receptor antagonist. These results suggest that Kamikihito and Yokukansan have antistress activity and that increased oxytocin secretion may be involved in the mechanism underlying this effect. In clinical practice, the target candidates for these two drugs are different. Although both are used for irritability, anger and insomnia, Kamikihito is generally prescribed to patients who are physically weak, have weak digestive functions, or complain of mental anxiety. Yokukansan, on the other hand, is prescribed to patients with moderate physical strength, who are sensitive, and easily excited. These Kampo medicines may also be useful for stress-induced symptoms and illnesses. ミニシンポジウム1「めまいの漢方治療」","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41779255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of Fabry disease followed up for a long time from a neuro-otological point of view 一个法布里病的病例，从神经耳科的角度进行了长时间的随访

Equilibrium Research Pub Date : 2021-08-31 DOI: 10.3757/jser.80.277

Tomoe Yoshida, Masahiko Yamamoto, Mitsuya Suzuki

{"title":"A case of Fabry disease followed up for a long time from a neuro-otological point of view","authors":"Tomoe Yoshida, Masahiko Yamamoto, Mitsuya Suzuki","doi":"10.3757/jser.80.277","DOIUrl":"https://doi.org/10.3757/jser.80.277","url":null,"abstract":"Fabry病は,αガラクトシダーゼ欠損により,血管の内皮細胞や平滑筋細胞をはじめ全身の細胞のライソゾームにスフィンゴ糖脂質が蓄積することが主病態である国の指定難病の1つである。X連鎖劣性遺伝形式で発症し,脂質の蓄積による血管障害を主体とした多彩な臨床症状を示すが,耳鼻咽喉科領域では難聴,めまい,ふらつき等が多く見られる。今回,当科で約10年弱の定期的な聴力検査,さらには神経耳科学的検査を含めて経過観察を施行した Fabry disease is an X-linked recessive disorder characterized by progressive lysosomal deposition of globotriaosylceramide (GL-3) in cells caused by a deficient activity of the enzyme α-galactosidase A (α-Gal A). Hearing loss, tinnitus, and dizziness are relatively common symptoms of Fabry disease. We report a case of Fabry disease in a 43-year-old man who presented with bilateral hearing disturbance, vertigo, and dizziness. We had regular hearing tests for about 10 years. Although the patient received enzyme replacement therapy, he developed deafness of sudden onset 3 years after the start of treatment. The auditory deterioration improved with steroid treatment, the patient’s systemic symptoms gradually worsened, and he died less than 10 years after the first treatment. As in this case, enzyme replacement therapy exerts scarce effect on hearing in cases of Fabry disease. In the event of acute exacerbation of auditory symptoms, active steroid therapy should be administered. Otorhinolaryngologists should include Fabry disease in the differential diagnosis in patients presenting with unexplained sensorineural hearing loss associated with renal failure. 原著","PeriodicalId":11781,"journal":{"name":"Equilibrium Research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44938053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A case of persistent direction-changing positional nystagmus 持续性变向位置性眼球震颤1例

Equilibrium Research Pub Date : 2021-08-31 DOI: 10.3757/jser.80.271

N. Nagai, Y. Ogawa, K. Otsuka, Taro Inagaki

引用次数: 0

Kampo treatments for vertigo/dizziness 汉布疗法治疗眩晕

Equilibrium Research Pub Date : 2021-08-31 DOI: 10.3757/jser.80.292

M. Tsubota

引用次数: 1