よろめき歩行

WordNet

a horses manner of moving
a persons manner of walking

PrepTutorEJDIC

歩きぶり,足どり
よろめく / 驚くほどの

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1. 高齢者における神経性歩行障害 neurologic gait disorders of elderly people
2. ウェルニッケ脳症 wernicke encephalopathy
3. 小児における急性小脳性運動失調 acute cerebellar ataxia in children
4. 浮動性めまい患者へのアプローチ approach to the patient with dizziness
5. 跛行を呈する小児に対するアプローチ approach to the child with a limp

English Journal

Risk factors for falls among older adults: a review of the literature.

Ambrose AF, Paul G, Hausdorff JM.Author information Department of Rehabilitation Medicine, Mount Sinai School of Medicine, USA. anne.ambrose@mssm.eduAbstractFalls are one of the major causes of mortality and morbidity in older adults. Every year, an estimated 30-40% of patients over the age of 65 will fall at least once. Falls lead to moderate to severe injuries, fear of falling, loss of independence and death in a third of those patients. The direct costs alone from fall related injuries are a staggering 0.1% of all healthcare expenditures in the United States and up to 1.5% of healthcare costs in European countries. This figure does not include the indirect costs of loss of income both to the patient and caregiver, the intangible losses of mobility, confidence, and functional independence. Numerous studies have attempted to define the risk factors for falls in older adults. The present review provides a brief summary and update of the relevant literature, summarizing demographic and modifiable risk factors. The major risk factors identified are impaired balance and gait, polypharmacy, and history of previous falls. Other risk factors include advancing age, female gender, visual impairments, cognitive decline especially attention and executive dysfunction, and environmental factors. Recommendations for the clinician to manage falls in older patients are also summarized.
Maturitas.Maturitas.2013 May;75(1):51-61. doi: 10.1016/j.maturitas.2013.02.009. Epub 2013 Mar 22.
Falls are one of the major causes of mortality and morbidity in older adults. Every year, an estimated 30-40% of patients over the age of 65 will fall at least once. Falls lead to moderate to severe injuries, fear of falling, loss of independence and death in a third of those patients. The direct co
PMID 23523272

Intracranial venous sinus thrombosis mimicking Lhermitte Duclos disease.

Praharaj HN, Singh MK, Garg RK, Raut TP.Author information Department of Neurology, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India. babipraharaj@gmail.comAbstractA middle-aged man presented with 1-month history of headache, dizziness, staggering of gait and progressive deafness. Examination revealed decreased visual acuity, papilloedema, gaze evoked nystagmus, bilateral sensorineural deafness and gait ataxia. MRI showed TI iso and T2 hyperintensity of cerebellum, prominence of folia with gyral enhancement in a tigroid pattern making impression of the rare entity, Lhermitte Duclos disease (LDD) or dysplastic gangliocytoma of cerebellum. Conservative management for the raised intra cranial pressure did not have any impact on patient's general condition for which an MR venogram was planned and it surprisingly showed non-visualisation of left transverse sinus and internal jugular vein, suggestive of thrombosis. Patient was treated with anticoagulants but he succumbed to his illness soon after. We present this case to convey that a high index of suspicion should always be there in mind for this commoner condition (venous sinus thrombosis) before diagnosing the rarer ones (here LDD disease) to prevent the disastrous consequences of the former.
BMJ case reports.BMJ Case Rep.2012 Nov 11;2012. pii: bcr2012007058. doi: 10.1136/bcr-2012-007058.
A middle-aged man presented with 1-month history of headache, dizziness, staggering of gait and progressive deafness. Examination revealed decreased visual acuity, papilloedema, gaze evoked nystagmus, bilateral sensorineural deafness and gait ataxia. MRI showed TI iso and T2 hyperintensity of cerebe
PMID 23148398

A review of the Neotyphodium lolii / Lolium perenne symbiosis and its associated effects on animal and plant health, with particular emphasis on ryegrass staggers.

di Menna ME, Finch SC, Popay AJ, Smith BL.Author information AgResearch Limited, Ruakura Research Centre, Private Bag 3123, Hamilton, 3240, New Zealand. margaret.dimenna@agresearch.co.nzAbstractRyegrass staggers is a seasonal mycotoxicosis of grazing livestock characterised by tremors, in coordination and a staggering gait almost unaccompanied by physical lesions. Deaths occur only as a consequence of accident or starvation. Outbreaks, in summer and autumn, occur only on pasture in which endophyte (Neotyphodium lolii)-infected perennial ryegrass (Lolium perenne) predominates and usually on which animals are grazed intensively. Animals recover when moved to a different type of grazing or after rain has promoted pasture growth. The disease was recognised for 80 years before its cause was discovered as a consequence of a grazing trial of sheep on three ryegrass cultivars which happened to have three different levels of endophyte infection. The endophyte was first formally described as Acremonium loliae, later corrected to Acremonium lolii, and was finally placed in the genus Neotyphodium. It produces a number of secondary metabolites of which lolitrem B is the principal one causing ryegrass staggers symptoms. Ergopeptides are also produced which cause heat stress and lack of productivity. N. lolii is symptomless in the plant, seed borne and grows intercellularly in the aerial parts, mainly in reproductive tillers and leaf sheaths but sparsely in leaf blades. It dies in stored seed and infection rates of different ryegrass cultivars have depended on seed storage times during their production. In addition, N. Lolii produces insect feeding deterrents, among them peramine, which protects infected plants from pest predation. Because of this, control of ryegrass staggers by elimination of endophyte-infected ryegrass is not feasible in areas in which insect predation is a serious pasture problem. However, N. lolii strains vary in the secondary metabolites they produce allowing the selection of strains that produce desirable metabolites. By inoculating such strains into uninfected ryegrass plants it is possible to produce cultivars which do not cause ryegrass staggers but resist insect predation. This review aims to provide a comprehensive summary of the current understanding of the N. lolii / L. perenne symbiosis, the toxins it is known to produce, their effects on animals and plants and the strategies used to control their ill effects while maximising their beneficial ones.
New Zealand veterinary journal.N Z Vet J.2012 Nov;60(6):315-28. doi: 10.1080/00480169.2012.697429. Epub 2012 Aug 22.
Ryegrass staggers is a seasonal mycotoxicosis of grazing livestock characterised by tremors, in coordination and a staggering gait almost unaccompanied by physical lesions. Deaths occur only as a consequence of accident or starvation. Outbreaks, in summer and autumn, occur only on pasture in which e
PMID 22913513

Japanese Journal

The pharmacological effects of the anesthetic alfaxalone after intramuscular administration to dogs

TAMURA Jun,ISHIZUKA Tomohito,FUKUI Sho,OYAMA Norihiko,KAWASE Kodai,MIYOSHI Kenjiro,SANO Tadashi,PASLOSKE Kirby,YAMASHITA Kazuto
Journal of Veterinary Medical Science 77(3), 289-296, 2015
… all the dog exhibited transient muscular tremors and staggering gait. …
NAID 130005060985

The pharmacological effects of the anesthetic alfaxalone after intramuscular administration to dogs

TAMURA Jun,ISHIZUKA Tomohito,FUKUI Sho,OYAMA Norihiko,KAWASE Kodai,MIYOSHI Kenjiro,SANO Tadashi,PASLOSKE Kirby,YAMASHITA Kazuto
Journal of Veterinary Medical Science, 2014
… all the dog exhibited transient muscular tremors and staggering gait. …
NAID 130004704144

乳幼児型嚢胞腎症マウスC57BL/6-cpkから派生した行動異常マウスの運動失調の評価

別府秀彦,水谷謙明,高柳尚貴,新里昌功,園田茂,高橋久英
形態・機能 11(2), 92-101, 2013
C57BL ／ 6- Polycystic kidney disease mouse (B6-cpk) の系統維持中酩酊歩行を示す個体が発見された。その異常行動は、後肢によろめき、ふらつき（wobble about；wob）が見られ、突発的に横転をすることで確認できる。このマウスは我々の手で育種されていることから、B6-wob/takahashi(tentative(t)) と名付けられた。この研 …
NAID 130005091205