耳クリック音をみとめたprogressive ataxia and palatal tremor(PAPT)の一例

  • 隅蔵 大幸
    大阪大学医学部附属病院神経内科・脳卒中科
  • 奥野 龍禎
    大阪大学医学部附属病院神経内科・脳卒中科
  • 高橋 正紀
    大阪大学医学部附属病院神経内科・脳卒中科
  • 荒木 克哉
    大阪大学医学部附属病院神経内科・脳卒中科
  • 北川 一夫
    大阪大学医学部附属病院神経内科・脳卒中科
  • 望月 秀樹
    大阪大学医学部附属病院神経内科・脳卒中科

書誌事項

タイトル別名
  • A case of progressive ataxia and palatal tremor (PAPT) with ear clicks
  • ショウレイ ホウコク ミミ クリックオン オ ミトメタ progressive ataxia and palatal tremor (PAPT)ノ イチレイ

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抄録

A 71-year-old man noted clicking sounds in the ear. At the age of 75, he developed progressive unsteadiness of gait and became unable to walk without assistance at the age of 76. There was no family history of neurologic illness. Neurological examination revealed truncal ataxia and 1-2 Hz rhythmic palatal tremor, which persisted during sleep. Consistently, brain magnetic resonance imaging showed mild cerebellar atrophy and increased signal intensity of bilateral inferior olivary nuclei on T2-weighted image. progressive ataxia and palatal tremor (PAPT) has recently been described as a rare sporadic neurodegenerative disease and the features of our case consistent with those of PAPT. However, for correct diagnosis of PAPT, multiple system atrophy, spinocerebellar ataxia, progressive supranuclear palsy or adult-onset Alexander's disease should be carefully ruled out.

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