書誌事項
- タイトル別名
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- A Case of Delayed-onset Wallenberg's Syndrome following Cervical Spine Fracture coexisting with suspected Conversion Disorder
- 症例報告 転換性障害を疑う症状を有した頚椎骨折患者が起こした遅発性ワレンベルグ症候群の1例
- ショウレイ ホウコク テンカンセイ ショウガイ オ ウタガウ ショウジョウ オ ユウシタ ケイツイ コッセツ カンジャ ガ オコシタ チハツセイ ワレンベルグ ショウコウグン ノ 1レイ
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We experienced a case of delayed-onset Wallenberg's syndrome following cervical spine fracture coexisting with suspected conversion disorder. A 69-year-old man was involved in a traffic accident, and was admitted to our rehabilitation unit for the purpose of posttraumatic rehabilitation. At first, he complained of right occipital and nuchal pain. But his complaints changed to ataxia, dysphagia and a suspected brainstem lesion four months after the accident. His brainstem MRI showed a small ischemic lesion in the right dorsolateral area of the medulla oblongata. The long time lag between the original traumatic event and his changing complaints made the diagnosis difficult. Accordingly, rehabilitation assessment and conventional rehabilitation approaches were prepared for all of his symptoms. The dysphagia and ataxia were gradually reduced and the hemiparesis lessened and disappeared. A couple of points were suggested by this case. The first is “We must never overlook a change of neurological symptom masked as conversion disorder, and never deny what the patient says without careful listening.” The second is “We should offer the patient a conventional rehabilitation program without the option for malingering and falsification. This case might suggest that our attitude toward so-called gray-zone cases has an influence on the functional/social prognosis.
収録刊行物
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- The Japanese Journal of Rehabilitation Medicine
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The Japanese Journal of Rehabilitation Medicine 48 (12), 761-768, 2011
公益社団法人 日本リハビリテーション医学会
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詳細情報 詳細情報について
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- CRID
- 1390282680252035456
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- NII論文ID
- 130002079211
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- NII書誌ID
- AN00250275
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- ISSN
- 18818560
- 18813526
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- NDL書誌ID
- 023449501
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- 使用不可