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1. 筋電図検査の概要overview of electromyography [show details]
…discriminate between benign or pathological fasciculation potentials. However, benign fasciculations may be more likely to arise proximally, whereas pathologic fasciculations associated with chronic denervation …
2. 成人における詳細な神経学的検査the detailed neurologic examination in adults [show details]
… that position. As an example, in testing shoulder abduction, the patient arms should be horizontal, forming a letter T with the body, and the patient should try to maintain that position while… Fasciculations (random, involuntary muscle twitches) should also be noted.…
3. 筋萎縮性側索硬化症およびその他の運動ニューロン疾患の診断diagnosis of amyotrophic lateral sclerosis and other forms of motor neuron disease [show details]
… criteria allowed fasciculations in muscles with neurogenic change to be considered equivalent to fibrillations and positive sharp waves. Fasciculation potentials may appear… Cervical spine MRI in the neutral and flexed positions characteristically shows asymmetric flattening of the cord in the neutral position,…
4. 律動眼振jerk nystagmus [show details]
…eye position against the normal viscoelastic forces that tend to bring the eye back to midline ("gaze-holding"). In both types, corrective fast eye movements restore the eye to its desired position.… ataxia . In those with medullary lesions, there can be palsies of the pharynx and tongue, tongue fasciculations , palatal myoclonus , and pain and temperature loss in the body or face . The history in patients …
5. 筋力低下の評価における筋力検査muscle examination in the evaluation of weakness [show details]
… fasciculations of the tongue are seen in the bulbar form of amyotrophic lateral sclerosis. Benign fasciculations tend to be more widespread… the patient rising from a seated position without the use of the hands or sitting up from the supine position on the examination table,…

Japanese Journal

Fasciculation potentialとALS診断

園生雅弘,東原真奈
臨床神経学 54(12), 1080-1082, 2014
… 線維束自発電位（FP）は筋萎縮性側索硬化症（ALS）の特徴的所見として古くから知られていた．本稿では，fasciculationとFPの歴史をまず論ずる．FPはALS以外の神経原性疾患では，伝導ブロックを呈する一部の疾患を除けばあまりみられない．すなわち，ALS診断における特異度が高く有用である．改訂El Escorial基準ではFPの意義は過小評価されていたが，Awaji基準では再評価されたことは歓迎される．FPの鑑別対象としてもっと …
NAID 130004921222

筋萎縮性側索硬化症における電気生理学的診断

清水俊夫
臨床神経生理学 41(2), 94-102, 2013
… Awaji基準では, 針筋電図の異常は臨床上の下位運動ニューロン徴候と同等であり, 線維束自発電位 (fasciculation potential) は活動性脱神経電位と見なす, などの改訂がなされており, 診断率が向上することが期待されている。 …
NAID 130005003310

シンポジウム２８‐１　電気生理からみたＡＬＳの病態ｕｐｄａｔｅ　ＡＬＳの電気生理学的診断の実際

園生雅弘,東原真奈,北國圭一
臨床神経学 51(11), 1111-1113, 2011
Electrodiagnostic methods, especially needle EMG plays an important role for the ALS diagnosis. Existing diagnostic criteria such as revised El Escorial criteria (R-EEC) and Awaji algorithm have a dra …
NAID 130004504843