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腰椎椎間板ヘルニアレベルに対する神経学的所見の検討
http://hdl.handle.net/10191/41376
http://hdl.handle.net/10191/41376dc5f2208-cbd2-4d14-bf64-ac206f856305
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2016-04-12 | |||||
タイトル | ||||||
タイトル | 腰椎椎間板ヘルニアレベルに対する神経学的所見の検討 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | 腰椎椎間板ヘルニアレベルに対する神経学的所見の検討 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Lumbar disc hernia | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Diagnosis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Neurological findings | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 腰椎椎間板ヘルニア | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 診断 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 神経学的所見 | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
その他のタイトル | ||||||
その他のタイトル | Neurological Findings in Relation to the Level of Lumbar Disc Hernia | |||||
著者 |
谷代, 弘三
× 谷代, 弘三 |
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著者別名 | ||||||
識別子 | 138109 | |||||
識別子Scheme | WEKO | |||||
姓名 | Yashiro, Kouzou | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Real neurological findings in 177 cases of lumbar disc hernia, the levels of which were operatively proved were compared with those described as corresponding to a certain level of hernia in books hitherto published. Sensory change in Keegan's L5 dermatome was accordant with L4-5 hernia only in 41%, that in S1 dermatome with L5-S1 hernia in 44%, and that in L4 dermatome with L3-4 hernia in 67%. Weakness of an entire lower limb or of lliopsoas was proved in accordance with L1-2 or L2-3 hernia. However, weakness of extensor hallucis longus with L4-5 hernia only in 65%, that of flexor hallucis longus with L5-S1 hernia in 37%, and that of quadriceps with L3-4 hernia in 44%. Patellar tendon reflex was diminished in 67% of L3-4 hernia, in 10% of L4-5 hernia, and in 6% of L5-S1 hernia. However, since the incidence of L4-5 hernia was much higher than L3-4 hernia, this finding was encountered in L4-5 hernia as often as in L3-4 hernia. By the same reason, diminished Achilles tendon reflex was encountered in L4-5 hernia as often as in L5-S1 hernia. Findings above described together with consideration that the positional deviation of a disc hernia at a certain lumbar intervertebral level did not cause simultaneous compression on a nerve root which branched at the level of herniation and one which branched one level above it, disclosed an individual difference in motor and sensory innervation was so great that a lumbar disc hernia at a certain level coincided with hitherto described neurological findings only in 40 to 60%. Results of this study led to the conclusion that the level of lumbar disc hernia could not be determined only with neurological findings but with myelography and other figure analyses. | |||||
書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 103, 号 8, p. 667-678, 発行日 1989-08 |
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出版者 | ||||||
出版者 | 新潟医学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00290440 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00182415 | |||||
著者版フラグ | ||||||
値 | publisher |