開業医の立場からみためまい診療 : おっくうでない診察・検査システム作り Simplified Neuro-Otological Examination for Dysequilibrium in Out-Patient Clinics

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The neurological and vestibular test for dysequilibrium is a time-consuming and troublesome task for most otolaryngologists in private out-patient clinics. Simplified neurological evaluation and vestibular tests were introduced for differential diagnosis of dysequilibrium.<BR>A stepping test involving ten steps with eyes open and closed, respectively, and evaluation of gaze nystagmus and positional nystagmus using an ultrared light camera are useful for the purpose. A simplified quantitative caloric test using 2 ml of ice water in necessary to detect the early stages of acoustic neurinome for unilateral cochlear symptoms or prolonged dysequilibrium.<BR>Using the merits of the patient's easy access to private out-patient clinics, a follow-up study revealed important findings in the central vestibular system, in which CT study had failed to find a lesion. Collaboration with neighboring hospitals and physicians with other specialities is essential for more accurate diagnosis and treatment of dysequilibrium.

収録刊行物

  • Equilibrium research

    Equilibrium research 58(6), 601-607, 1999-12-01

    Japan Society for Equilibrium Research

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各種コード

  • NII論文ID(NAID)
    10008713020
  • NII書誌ID(NCID)
    AN00001485
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    03855716
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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