むちうち損傷と頭部外傷によるめまい・平衡失調; 心因性めまい検出を意図した平衡試験による比較検討

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  • Analysis of Ataxia Following Head and Neck Injury in Relation to Psychic Factors
  • ムチ ウチ ソンショウ ト トウブ ガイショウ ニヨル メマイ ヘイコウ シッ

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Using “Equilibrium tests for neurotic vertigo” (Hinoki et al 1976), 117 patients with head and neck injury were examined with the following results:<br>(1) Of the above-mentioned 117 patients, 25 showed ataxia of Type A. The remaining 92 showed ataxia of Type B. The former type of ataxia is considered to be of psychosomatic origin. The latter type of ataxia is considered to be mostly of non-neurotic, particularly non-psychosomatic origin, although a certain group of mental diseases, such as neurosis and masked depression, possibly shows ataxia of Type B.<br>(2) The appearance of ataxia of Type A was significantly more marked in the patients with neck injury of whiplash type than in those with head trauma.<br>(3) In the patients with head trauma the following facts were noted. That is, the development of ataxia of Type A was more marked in the patients with little evidence of cerebral involvement than in those with moderate and severe cerebral symptoms at the time of accident. These symptoms included cerebral concussion, cerebral confusion and intracranial haemorrhage.<br>(4) Opposite tendency was found between the above-mentioned two types of ataxia (Types A and B) with regard to the facts described in (2) and (3).

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