羽ばたき振戦
WordNet
- shake with seismic vibrations; "The earth was quaking" (同)quake
- shaking or trembling (usually resulting from weakness or stress or disease)
- an involuntary vibration (as if from illness or fear) (同)shudder
- a small earthquake (同)earth tremor, microseism
PrepTutorEJDIC
- (地面などの)震動,揺れ / (恐怖・興奮などによる体・手足の)震う,身震い
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2012/06/04 15:34:08」(JST)
[Wiki en表示]
| Asterixis |
| Classification and external resources |
| ICD-10 |
R27.8 |
| ICD-9 |
781.3 |
| DiseasesDB |
33950 |
| MeSH |
D020820 |
Asterixis (also called the flapping tremor, or liver flap) is a tremor of the wrist when the wrist is extended, sometimes said to resemble a bird flapping its wings. This motor disorder is characterized by jerking movements (as of the outstretched hands) and is associated with various encephalopathies due especially to faulty metabolism.[1] The term derives from the Greek a, "not" and stērixis, "fixed position".
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Contents
- 1 Associated conditions and presentation
- 2 History
- 3 References
- 4 External links
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Associated conditions and presentation
Usually there are brief, arrhythmic interruptions of sustained voluntary muscle contraction causing brief lapses of posture, with a frequency of 3–5 Hz. It is bilateral, but may be asymmetric.
- It can be a sign of hepatic encephalopathy, damage to brain cells presumably due to the inability of the liver to metabolize ammonia to urea. The cause is thought to be predominantly related to abnormal ammonia metabolism.[2]
- Asterixis is seen most often in drowsy or stuporous patients with metabolic encephalopathies, especially in decompensated cirrhosis or acute hepatic failure.
- It is also seen in some patients with renal failure and azotemia, and in carbon dioxide toxicity.
- It can also be a feature of Wilson's disease.
History
R.D. Adams and J.M. Foley first described asterixis in 1949 in patients with severe liver failure and encephalopathy.[3]
References
- ^ "Asterixis - Definition". http://www.merriam-webster.com/medical/asterixis. Retrieved 6.1.2011.
- ^ Anne M. Larson, Diagnosis and management of acute liver failure, Curr Opin Gastroenterol., 2010, 26(3):212:221, 2010
- ^ Adams RD, Foley JM. The neurological changes in the more common types of severe liver disease. Trans American Neurology Association 1949; 74: 217-219.
External links
- -932511743 at GPnotebook
- Diagram
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Symptoms and signs: nervous and musculoskeletal systems (R25–R29, 781.0, 781.2–9)
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| Primarily nervous system |
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Primarily CNS
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Movement disorders
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Dyskinesia: Athetosis · Tremor · Dyskinesia
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Gait abnormality
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Scissor gait · Cerebellar ataxia · Festinating gait · Marche a petit pas · Propulsive gait · Stomping gait · Spastic gait · Magnetic gait
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Lack of coordination
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Dyskinesia: Ataxia (Cerebellar ataxia/Dysmetria, Sensory ataxia)
Dysdiadochokinesia · Asterixis
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Other
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Abnormal posturing: Opisthotonus
Perceptual disorder: Hemispatial neglect
Facial weakness · Hyperreflexia · Pronator drift
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Primarily PNS
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Gait abnormality
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Steppage gait · Antalgic gait
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| Primarily muscular |
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Movement disorders
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Spasm (Trismus) · Fasciculation · Fibrillation · Myokymia · Cramp
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Gait abnormality
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Myopathic gait · Trendelenburg gait · Pigeon gait
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Other
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Tetany · Meningism
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| Primarily skeletal |
Rachitic rosary · Clubbing
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| Primarily joint |
Joint locking
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anat(n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp
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noco(m/d/e/h/v/s)/cong/tumr, sysi/epon, injr
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proc, drug(N1A/2AB/C/3/4/7A/B/C/D)
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anat(h/r/t/c/b/l/s/a)/phys(r)/devp/prot/nttr/nttm/ntrp
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noco/auto/cong/tumr, sysi/epon, injr
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anat (h/n, u, t/d, a/p, l)/phys/devp/hist
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noco(m, s, c)/cong(d)/tumr, sysi/epon, injr
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anat(c/f/k/f, u, t/p, l)/phys/devp/cell
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noco/cong/tumr, sysi/epon, injr
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noco(arth/defr/back/soft)/cong, sysi/epon, injr
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UpToDate Contents
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English Journal
- Subthalamic nucleus versus globus pallidus bilateral deep brain stimulation for advanced Parkinson's disease (NSTAPS study): a randomised controlled trial.
- Odekerken VJ, van Laar T, Staal MJ, Mosch A, Hoffmann CF, Nijssen PC, Beute GN, van Vugt JP, Lenders MW, Contarino MF, Mink MS, Bour LJ, van den Munckhof P, Schmand BA, de Haan RJ, Schuurman PR, de Bie RM.SourceDepartment of Neurology, Academic Medical Center, Amsterdam, Netherlands.
- Lancet neurology.Lancet Neurol.2013 Jan;12(1):37-44. doi: 10.1016/S1474-4422(12)70264-8. Epub 2012 Nov 16.
- BACKGROUND: Patients with advanced Parkinson's disease often have rapid swings between mobility and immobility, and many respond unsatisfactorily to adjustments in pharmacological treatment. We assessed whether globus pallidus pars interna (GPi) deep brain stimulation (DBS) gives greater functional
- PMID 23168021
- [Rasagiline in monotherapy in patients with early stages of Parkinson's disease and in combined and adjunct therapy to levodopa with moderate and advanced stages].
- Pagonabarraga J, Rodriguez-Oroz MC.SourceHospital de la Santa Creu i Sant Pau, 08025 Barcelona, Espana.
- Revista de neurologia.Rev Neurol.2013 Jan 1;56(1):25-34.
- Rasagiline is effective in the early stages of the disease and has shown a possible effect of modifying disease progression at a dose of 1 mg. The accurate management of dopaminergic drugs in Parkinson's disease is able to delay the appearance of motor fluctuations and dyskinesias. The combination o
- PMID 23250679
- Limbic Encephalitis and Related Cortical Syndromes.
- Rubio-Agusti I, Salavert M, Bataller L.SourceDepartment of Neurology, Hospital Universitari I Politècnic La Fe, Boulevar Sur s/n, 46026, Valencia, Spain, vikja@hotmail.com.
- Current treatment options in neurology.Curr Treat Options Neurol.2012 Dec 19. [Epub ahead of print]
- OPINION STATEMENT: Patients with limbic encephalitis and related cortical syndromes develop neurologic and psychiatric symptoms due to autoimmune damage of limbic and extralimbic brain areas. Some patients develop limbic encephalitis as a paraneoplastic manifestation of systemic cancer, where immune
- PMID 23250843
Japanese Journal
- 芝原 友也,梶原 英二,大穂 有恒,下釜 達朗,金城 満,山下 尚毅
- 肝臓 55(3), 182-188, 2014
- 高齢発症の劇症型自己免疫性肝炎救命例を経験した．症例は82歳の女性．高血圧症で通院中であったが，それまで肝障害を指摘されたことはなかった．入院2-3週間前より倦怠感と褐色尿が出現し，入院前日に黄疸に気付き入院．T-Bil 16.6 mg/dl，PT 36.5%，IgG 4608 mg/dl，抗核抗体80倍，肝炎ウイルスマーカーは陰性．健康食品や新たな薬剤服用歴はなかった．急性肝炎重症型と診断し，入 …
- NAID 130003393973
- An Elderly Japanese Patient with Adult-onset Type II Citrullinemia with a Novel D493G Mutation in the SLC25A13 Gene
- Takahashi Yoshimi,Koyama Shingo,Tanaka Hidetomo,Arawaka Shigeki,Wada Manabu,Kawanami Toru,Haga Hiroaki,Watanabe Hisayoshi,Toyota Kentaro,Numakura Chikahiko,Hayasaka Kiyoshi,Kato Takeo
- Internal Medicine 51(16), 2131-2134, 2012
- … On admission, he had disorientation and flapping tremor. …
- NAID 130002062301
- 肝円索結紮による傍臍静脈シャント閉鎖術により猪瀬型肝性脳症の改善が得られた肝硬変の2症例
- 久保 秀文,北原 正博,兼清 信介,多田 耕輔
- 日本臨床外科学会雑誌 = The journal of the Japan Surgical Association 69(4), 877-882, 2008-04-25
- 症例1は65歳，女性．原因不明の肝硬変で近医にて経過観察されていた．2007年8月見当識障害と羽ばたき振戦を認め受診した．<BR>症例2は73歳，男性．2004年よりC型肝硬変で経過観察されていた．2007年7月から見当識障害が出現し，腹部US，CT，および腹部血管撮影検査にて肝S2，S6，S8に各々径2cm，1cm，1cmの肝細胞癌（以下，HCC）が診断された．S8のHCCは経皮的ラ …
- NAID 10024145169
Related Links
- 16 Jun 2009 ... 0:16. Watch Later Asterixisby telswoodFeatured 123,229 · 0:50. Watch Later Early sign of autism- hand flapping and teeth grindingby Monica Bice 392,312 views · 0:32. Watch Later Essential tremorby chiangmaineuroclinic ...
- 23 Dec 2010 ... First described by Adams and Foley in 1949, asterixis is a clinical sign indicating a lapse of posture and is usually manifest by a bilateral flapping tremor...
★リンクテーブル★
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- 英
- flapping tremor, asterixis
- 関
- 固定姿勢保持困難
羽ばたき振戦が見られる疾患