自律神経失調と起立性調節障害を伴うめまい症例についての臨床的検討 Clinical Study of Vertiginous Patients, Together with Autonomic Nerve Dysfunction and Orthostatic Dysregulation

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著者

    • 松吉 秀武 MATSUYOSHI Hidetake
    • 熊本大学耳鼻咽喉科・頭頸部外科 Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medical Sciences, Kumamoto University
    • 蓑田 涼生 MINODA Ryosei
    • 熊本大学耳鼻咽喉科・頭頸部外科 Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medical Sciences, Kumamoto University
    • 須古 和之 SUKO Kazuyuki
    • 熊本大学耳鼻咽喉科・頭頸部外科 Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medical Sciences, Kumamoto University

抄録

Equilibrium function, psychological tests, and a questionnaire about orthostatic dysregulation were investigated in 103 patients who visited the laboratory of equilibrium function in Kumamoto University hospital from April 2004 to December 2005. The percentage of patients with autonomic nerve dysfunction comprised 42.7% of the total patients. Most (94%) of the patients with autonomic nerve dysfunction presented with orthostatic dysregulation. The patients with autonomic nerve dysfunction and orthostatic dysregulation showed several diagnoses by the equilibrium function test: peripheral vestibular disorders (37%), disease of the central nervous system (28.6%), abnormal blood pressure (75%), psychogenic disorders (100%), and origin unknown (14.3%). Tofisopam was effective in 60% of the patients with autonomic nerve dysfunction and orthostatic dysregulation. In the other patients, only 18.5% were naturally cured without medication. There was a significant difference between the group of patients treated with Tofisopam and a control group without medication. Tofisopam tended to be effective in patients whose blood pressure decreased by the schellong test. We consider that it may be possible to improve the curative effect on vertiginous patients by performing psychological tests and questionnaires about orthostatic dysregulation, adding to the routine equilibrium function tests including the schellong test.

収録刊行物

  • Equilibrium research

    Equilibrium research 65(4), 238-244, 2006-08-01

    一般社団法人 日本めまい平衡医学会

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各種コード

  • NII論文ID(NAID)
    10021289538
  • NII書誌ID(NCID)
    AN00001485
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    03855716
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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