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  1. 0 資料タイプ別
  2. 03 紀要論文
  1. 250 大学院医歯学総合研究科(医)
  2. 20 紀要
  3. 02 新潟医学会雑誌
  4. 第103巻第8号

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/10191/41376
dc5f2208-cbd2-4d14-bf64-ac206f856305
名前 / ファイル ライセンス アクション
103(8)_667-678.pdf 103(8)_667-678.pdf (2.7 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
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

WEKO 138108

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
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
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