diplopia

出典: meddic

複視 double vision

WordNet   license wordnet

「visual impairment in which an object is seen as two objects; "diplopia often disappears when one eye is covered"」
double vision

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出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2014/09/11 14:09:12」(JST)

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英文文献

  • Presentation, management and outcomes in acute pituitary apoplexy: a large single-centre experience from the United Kingdom.
  • Bujawansa S, Thondam SK, Steele C, Cuthbertson DJ, Gilkes CE, Noonan C, Bleaney CW, Macfarlane IA, Javadpour M, Daousi C.Author information Department of Endocrinology & Diabetes, University Hospital Aintree, Liverpool, UK.AbstractOBJECTIVE: To study the presentation, management and outcomes and to apply retrospectively the Pituitary Apoplexy Score (PAS) (United Kingdom (UK) guidelines for management of apoplexy) to a large, single-centre series of patients with acute pituitary apoplexy.
  • Clinical endocrinology.Clin Endocrinol (Oxf).2014 Mar;80(3):419-24. doi: 10.1111/cen.12307. Epub 2013 Aug 26.
  • OBJECTIVE: To study the presentation, management and outcomes and to apply retrospectively the Pituitary Apoplexy Score (PAS) (United Kingdom (UK) guidelines for management of apoplexy) to a large, single-centre series of patients with acute pituitary apoplexy.DESIGN: Retrospective analysis of casen
  • PMID 23909507
  • Complications of tube implants and their management.
  • Bailey AK, Sarkisian SR Jr.Author information Department of Ophthalmology, University of Oklahoma Health Science Center, Dean McGee Eye Institute, Oklahoma City, Oklahoma, USA.AbstractPURPOSE OF REVIEW: The use of glaucoma drainage devices (GDD) in the treatment of glaucoma has become widely accepted for cases of refractory glaucoma. Expansion in the indications for implantation of GDD beyond refractory glaucoma is increasingly common. As such, tube implant complications are reviewed to aid in prevention and improve their management.
  • Current opinion in ophthalmology.Curr Opin Ophthalmol.2014 Mar;25(2):148-53. doi: 10.1097/ICU.0000000000000034.
  • PURPOSE OF REVIEW: The use of glaucoma drainage devices (GDD) in the treatment of glaucoma has become widely accepted for cases of refractory glaucoma. Expansion in the indications for implantation of GDD beyond refractory glaucoma is increasingly common. As such, tube implant complications are revi
  • PMID 24463417
  • Mobilization of the transcavernous oculomotor nerve during basilar aneurysm surgery: biomechanical bases for better outcome.
  • Basma J, Ryttlefors M, Latini F, Pravdenkova S, Krisht A.Author information *Arkansas Neuroscience Institute, St. Vincent's Infirmary, Little Rock, Arkansas; ‡Department of Neurosurgery, Uppsala University Hospital, Uppsala, Sweden; §Division of Neurosurgery, Department of Neuroscience and Rehabilitation, Santa Anna University Hospital, Ferrara, Italy.AbstractBACKGROUND: The transcavernous approach adds a significant exposure advantage in basilar aneurysm surgery. However, one of its frequently reported side effects is postoperative oculomotor nerve palsy.
  • Neurosurgery.Neurosurgery.2014 Mar;10 Suppl 1:106-15. doi: 10.1227/NEU.0000000000000027.
  • BACKGROUND: The transcavernous approach adds a significant exposure advantage in basilar aneurysm surgery. However, one of its frequently reported side effects is postoperative oculomotor nerve palsy.OBJECTIVE: To present the technique of mobilizing the oculomotor nerve throughout its intracranial c
  • PMID 24056316

和文文献

  • メトロニダゾールによる薬剤性末梢神経障害に対して薬物療法を行った1症例
  • 大路 牧人,境 徹也,田中 絵理子,澄川 耕二
  • 日本ペインクリニック学会誌 21(1), 27-30, 2014
  • メトロニダゾール(MNZ)は,嫌気性菌や原虫による感染症に有効な抗菌薬である.薬剤性神経障害の原因薬剤は多岐にわたるが,MNZでも起こりうる.今回われわれは,MNZにより生じた薬剤性末梢神経障害に対し薬物療法を行ったので報告する.症例は77歳の男性である.5カ月前に腰痛が出現し,非結核性抗酸菌性脊椎炎と診断された.MNZ 1,500 mg/日が開始されたが,投与より1カ月で四肢の痛みとしびれ,複視 …
  • NAID 130003386640
  • Postural Stability Changes during Large Vertical Diplopia Induced by Prism Wear in Normal Subjects
  • Matsuo Toshihiko,Yamasaki Hanako,Yasuhara Hirotaka,Hasebe Kayoko
  • Acta Medica Okayama 67(3), 177-183, 2013-06
  • … In conclusion, postural stability did not change with the eyes open in the condition of large vertical diplopia, induced by prism-wearing for 60min, while the stability became better when measured with the eyes closed. … A postural control mechanism other than that derived from visual input might be reinforced under abnormal visual input such as non-fusionable diplopia. …
  • NAID 120005295916
  • 複視が初発症状の神経サルコイドーシスに対しγグロブリン療法が著効した1例 (特集 第66回日本臨床眼科学会講演集(3))
  • 小林 志乃ぶ,井上 麻衣子,山根 真 [他]
  • 臨床眼科 67(5), 759-763, 2013-05
  • NAID 40019685148

関連リンク

diplopia /di·plo·pia/ (dĭ-plo´pe-ah) the perception of two images of a single object. binocular diplopia double vision in which the images of an object are formed on noncorresponding points of the retinas. crossed diplopia diplopia in ...
Diplopia definition, a pathological condition of vision in which a single object appears double (opposed to haplopia). See more. Thesaurus Translate Reference Word of the Day Blog Slideshows Apps by Dictionary My Account ...

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★リンクテーブル★
リンク元100Cases 14」「複視」「dipl」「polyopsia」「vertical diplopia

100Cases 14」

  [★]

☆case14 複視
glossary
diplopia n. 複視
筋力低下筋無力筋脱力 muscle weakness, muscular weakness
sunken
vt. sinkのpp.
adj.
沈没した、沈んだ、水中の
沈下した、一段低いところにある
落ち込んだ、くぼんだ
3,4-ジアミノピリジン 3,4-diaminopyridine 3,4-DAP K+チャネル阻害薬;ランバートイートン筋無力治療
症例
43-year-old woman
cheif complaint: diplopia
present history: diplopia and holding her head up ; more marked in the evenings, for the last 3 months. difficulty of chewing. voice has become quieter. weight loss (3kg / 6months). non-smoker. drinks about 15 units/week. no regular medication.
past history: no significant previous medical illnesses.
family history: lives with her husband and three children.
診察 examination
looks well.
organ systems: normal; cardiovascular, respiratory, and abdominal systems.
muscle power; grossly normal. decrease after testing a movement repetitively.
motor function: normal; tone, coordination, reflexes and sensation.
bilateral ptosis. exacerbated by prolonged upward gaze
eye: normal; pupillary reflexes, eye movements, and funduscopy
■答え
diagnosis: myathenia gravis
differential diagnoses:
CASES
上位and/or下位運動ニューロン motor neurone disease 運動ニューロン疾患線維束性攣縮進行例では筋力低下
muscular dystrophy 筋ジストロフィー:ある種の筋肉選択的筋力低下する。家族歴がある。
dystrophia myotonica 強直性筋ジストロフィー咬筋側頭筋胸鎖乳突筋筋萎縮四肢遠位端の筋萎縮顔貌特徴的(前頭部脱毛、無表情、窪んだ頬)。家族歴ある。筋電図診断有用(急降下爆撃音)。
polymyositis 多発筋炎普通皮疹関節痛出現CK上昇筋生検診断有用
myopathy ミオパチー:甲状腺中毒性ミオパチー甲状腺機能低下症によるミオパチークッシング症候群によるミオパチーアルコール性のミオパチー
神経筋接合部non-metastatic associations of malignancy (paraneoplastic syndrome(傍腫瘍性症候群 = 腫瘍随伴症候群)のこと):胸腺腫症例の10%に重症筋無力症がみられる。ランバートイートン筋無力症候群小細胞癌関連がある。
HIM.2674
Treatment with penicillamine (used for scleroderma or rheumatoid arthritis) may result in true autoimmune MG, but the weakness is usually mild, and recovery occurs within weeks or months after discontinuing its use.
 重症筋無力症の誘発ペニシラミン(強皮症関節リウマチ治療に用いられる)。
  mildだし、薬剤中断改善する。
Aminoglycoside antibiotics or procainamide can cause exacerbation of weakness in myasthenic patients; very large doses can cause neuromuscular weakness in normal individuals.
 重症筋無力症の悪化:アミドグリコシド系抗菌薬、プロカインアミド
  MG患者筋脱力悪化する。
参考文献
HIM = Harrison's Principles of Internal Medicine 17th Edition
CASES = 100 Cases in Clinical Medicine Second edition
IMD = 内科診断学第2版


複視」

  [★]

dipl opia
diplopia, double vision
両眼視

概念

  • ある視標を見たときにものが二重に見える状態を複視という。(SOP.269)

分類

仮像の出現する方向

両眼・単眼の別

  • 両眼複視:両眼で物が二重に見える場合。動眼神経麻痺、滑車新家麻痺、重症筋無力症、眼窩吹き抜け骨折など
  • 単眼複視:単眼で物が二重に見える場合。正乱視不正乱視、あるいは白内障が原因となる。

鑑別疾患

単眼視したときに物体が二重に認識される状態 monocular diplopia

  • 水晶体脱臼(外傷、マルファン症候群)
  • 早期白内障
  • 角膜白濁(corneal opacities)
  • 二重虹彩(手術や外傷)
  • ヒステリー

両眼視したときに物体が二重に認識される状態 biocular diplopia

DIF
  • 外眼筋麻痺:MINT
  • 脳神経末梢:VINCE
  • 脳神経核:VINDICATE
  • vascular 脳底動脈血栓症/出血/塞栓症/動静脈奇形。片頭痛?
  • inflammatory 梅毒性脳炎、結核性脳炎、ウイルス性脳炎
  • neoplasms 脳幹神経膠腫、転移性脳腫瘍、ホジキンリンパ腫
  • deficiency ウェルニッケ脳症
  • intoxication ボツリヌス症、臭素・ヨウ素中毒
  • congenital 水頭症、アーノルド・キアリ奇形
  • autoimmune 多発性硬化症、感染後脳症、ループス脳症
  • traumatic 硬膜下血腫、頭蓋底骨折、橋血腫
  • endocrine 糖尿病による脳底動脈血栓症
  • 核上性
  • 松果体腫瘍、脳血栓/脳出血のconjugate plasy、局在性皮質てんかんのconjugate gaze、テント切痕への早期ヘルニアにおける瞳孔の拡張

検査




dipl」

  [★]

  • comb form.
  • 2(two)。二重(double)。多重。複。2倍の染色体を持つ
  • ex.


polyopsia」

  [★]

多視

diplopiadouble visionhorizontal diplopiamonocular diplopiavertical diplopia


vertical diplopia」

  [★]

diplopiadouble visionhorizontal diplopiamonocular diplopiapolyopsia




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