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ID 16812
Eprint ID
16812
フルテキストURL
Thumnail 94_545.pdf 371 KB
タイトル(別表記)
A Clinical and Prognostic Study of Facial Spasm
著者
西井 保行 高知医科大学神経精神医学教室
洲脇 寛 高知医科大学神経精神医学教室
大月 三郎 岡山大学医学部神経精神医学教室
抄録
We conducted a prognostic study of 78cases with hemifacial spasm by questionaire from January to June, 1980. On the avarage 11.5 years had passed since consultation with a physician. There were 44 respondents, the response rate being 56.4 percent. Excluding 2 deceased, the results obtained from 42 cases were compared mainly with the reports of Ehni and Wakasugi. There were 29 female cases(69.0%) and 13 male cases (31.0%). As to the age at onset, the disease started from the age of 20 on but developed most frequently in their 20s-50s. Aggravation of symptoms due to psychological stress was seen in many of the cases. Three cases (7.0%) showed a family history of facial spasm. According to the clinical course after medical treatment, 7cases became worsen (15.9%), 10 remained unchanged (22.7%), 20 improved (45.5%), 5 remitted (11.4%) and 2 died (4.5%), which was nearly in agreement with the results of Ehni. As to the treatment, pharmacotherapy led to improvement in symptoms in about half of the cases but the duration of effectiveness was not satisfactory. As for fifteen cases which had been under facial nerve block, all but one case showed recurrence of the symptoms within three years. Psychological factors were concerned with the clinical course of this disease. In the treatment, therefore, it appeared necessary to give enough consideration to the psychosomatic aspect.
キーワード
facial syasm
prognosis
facial nerve block
発行日
1982-06-30
出版物タイトル
岡山医学会雑誌
出版物タイトル(別表記)
Journal of Okayama Medical Association
94巻
5-6号
出版者
岡山医学会
出版者(別表記)
Okayama Medical Association
開始ページ
545
終了ページ
551
ISSN
0030-1558
NCID
AN00032489
資料タイプ
学術雑誌論文
オフィシャル URL
https://www.jstage.jst.go.jp/article/joma1947/94/5-6/94_5-6_545/_article/-char/ja/
関連URL
http://www.okayama-u.ac.jp/user/oma/index.html
言語
Japanese
著作権者
岡山医学会
論文のバージョン
publisher
査読
有り
Eprints Journal Name
joma