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1. 小児における項部硬直に対するアプローチapproach to neck stiffness in children [show details]
…neck stiffness because of decreased movement secondary to pain, or due to sternocleidomastoid muscle spasm. The diagnosis of clavicle fracture is usually clear because pain and tenderness are noted over …
2. 筋萎縮性側索硬化症の症状に基づくマネージメントsymptom based management of amyotrophic lateral sclerosis [show details]
…patients with ALS. Among the prominent symptoms of ALS addressed by national guidelines are dyspnea, muscle spasm, spasticity, sialorrhea, and pseudobulbar affect . Equally important and potentially debilitating …
3. 低カルシウム血症の臨床症状clinical manifestations of hypocalcemia [show details]
…the paresthesias. The motor symptoms of tetany include stiffness and clumsiness, myalgia, and muscle spasms and cramps. In the hands, the result is forced adduction of the thumb, flexion of the metacarpophalangeal … specific than Chvostek sign, both may be negative in patients with hypocalcemia . Generalized tonic-clonic, generalized absence, and focal seizures can occur in hypocalcemia and may be the sole presenting…
4. 破傷風tetanus [show details]
…ventilation and drugs to control muscle spasms and autonomic dysfunction. Magnesium infusion significantly reduced the requirement for other drugs to control muscle spasms, and patients treated with magnesium …
5. 新生児痙攣の臨床的特徴、評価、および診断clinical features evaluation and diagnosis of neonatal seizures [show details]
…seizures . These mainly classify seizures according to their motor manifestations (focal clonic, multifocal clonic, generalized tonic, myoclonic, and subtle). The ‘subtle’ semiology refers to seizures with …

English Journal

New insights in phenomenology and treatment of epilepsy in CDKL5 encephalopathy.

Melikishvili G, Epitashvili N, Tabatadze N, Chikvinidze G, Dulac O, Bienvenu T, Gataullina S.
Epilepsy & behavior : E&B. 2019 May;94()308-311.
Eight patients, seven girls and one boy, had CDKL5 gene mutation, duplication, or deletion. Epileptic spasms started at a mean age of 3.5 months (range = 4 weeks-8 months). In five cases, tonic seizures preceded spasms at a median age of 6 weeks. In one patient who started at 8 months,
PMID 30898514

[Therapy of Hemifacial Spasm with Botulinum Toxin].

Jost WH, Laskawi R, Palmowski-Wolfe A, Urban PP.
Laryngo- rhino- otologie. 2019 Apr;98(4)247-251.
Hemifacial spasm (HFS) is a frequent disorder characterized by involuntary contractions of those muscles innervated by the facialis nerve on one side of the face. The symptoms can appear as tonic or clonic, intermittent or permanent. Diagnosis is based purely on clinical observation. Differential di
PMID 30968378

Evaluation of stigmatization in hemifacial spasm and quality of life before and after botulinum toxin treatment.

Yuksel B, Genc F, Yaman A, Goksu EO, Ak PD, Gomceli YB.
Acta neurologica Belgica. 2019 Mar;119(1)55-60.
Hemifacial spasm (HFS) is a chronic disease that is characterized by involuntary tonic and clonic contractions of the muscles innervated by the ipsilateral facial nerve. Botulinum toxin (BTX) is the most effective medical treatment of this condition. The aim of our study was to evaluate stigma among
PMID 30178181

Japanese Journal

小脳橋角部砂粒腫状髄膜腫に起因した三叉神経痛の１症例

小野好一,大久保滋郎,町田圭介,伏島昇一,松田登
日本口腔外科学会雑誌 32(8), 1398-1403, 1986
… During the attack of the pain, right facial clonic muscle spasm was observed, and dysacousia was shown by audiogram. …
NAID 130001357715

大脳両半球に広汎な萎縮,硬化をきたしたウイリス動脈管のIntimal Fibromuscular Dysplasiaの幼児剖検例--特発性ウイリス動脈輪閉塞症の成因をめぐって

奥山富三 [他],千坂礼靖,藤原建樹,末松克美
札幌医学雑誌 45(6), p247-256, 1976-12
… The child's suffering began with a sudden onset of clonic spasm of the face, fingers and limbs subsequently followed by hemiparesis at the left side 7 months after birth. …
NAID 120002081804

痙攣興奮の脊髄内における伝導に関する研究

中野豊道
岡山医学会雑誌 71(7-1), 3623-3635, 1959
… 2) In the clonic convulsion, there were seen about 4 to 6 p.s. slow waves, on which about 200 p.s. small spikes and 20 p.s. fast waves were also observed. … 3) The 4 to 6 p.s. slow waves corresponded with the rhythm and the time of appearance of the gross clonic movement. …
NAID 130006858394