末梢性顔面神経麻痺の筋電図学的単一筋線維に関する研究
末梢性顔面神経麻痺の臨床症例および虚血性顔面神経麻痺動物モデルにおいて単一筋線維筋電図 (SFEMG) 法による検討を行つた. 1) ヒト, ネコにおける正常口輪筋でのSFEMGのjitter値を記録し, その推計学的に5%危険率の棄却楕円図を作成した. 両者のjitter値および棄却楕円図は極めて近似していた. 2) 麻痺軽症群および虚血性顔面神経麻痺モデルでは, 麻痺の回復とともにjitter値は正常化した. 3) 麻痺重症群では, 麻痺の重症度の強い症例ほど, jitter値のばらつきもまた大きく, その値は正常群の棄却楕円図の遥か圏外に位置する傾向にある. 4) 顔面神経の側頭骨外神経...
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| Published in | 耳鼻と臨床 Vol. 40; no. 6; pp. 861 - 874 |
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| Main Author | |
| Format | Journal Article |
| Language | Japanese |
| Published |
耳鼻と臨床会
1994
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0447-7227 2185-1034 |
| DOI | 10.11334/jibi1954.40.6_861 |
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| Abstract | 末梢性顔面神経麻痺の臨床症例および虚血性顔面神経麻痺動物モデルにおいて単一筋線維筋電図 (SFEMG) 法による検討を行つた. 1) ヒト, ネコにおける正常口輪筋でのSFEMGのjitter値を記録し, その推計学的に5%危険率の棄却楕円図を作成した. 両者のjitter値および棄却楕円図は極めて近似していた. 2) 麻痺軽症群および虚血性顔面神経麻痺モデルでは, 麻痺の回復とともにjitter値は正常化した. 3) 麻痺重症群では, 麻痺の重症度の強い症例ほど, jitter値のばらつきもまた大きく, その値は正常群の棄却楕円図の遥か圏外に位置する傾向にある. 4) 顔面神経の側頭骨外神経幹刺激によつて記録される口輪筋の誘発SFEMGのjitter値は, SFEMG法と同様に麻痺の回復過程の観察に有用である. |
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| AbstractList | 末梢性顔面神経麻痺の臨床症例および虚血性顔面神経麻痺動物モデルにおいて単一筋線維筋電図 (SFEMG) 法による検討を行つた. 1) ヒト, ネコにおける正常口輪筋でのSFEMGのjitter値を記録し, その推計学的に5%危険率の棄却楕円図を作成した. 両者のjitter値および棄却楕円図は極めて近似していた. 2) 麻痺軽症群および虚血性顔面神経麻痺モデルでは, 麻痺の回復とともにjitter値は正常化した. 3) 麻痺重症群では, 麻痺の重症度の強い症例ほど, jitter値のばらつきもまた大きく, その値は正常群の棄却楕円図の遥か圏外に位置する傾向にある. 4) 顔面神経の側頭骨外神経幹刺激によつて記録される口輪筋の誘発SFEMGのjitter値は, SFEMG法と同様に麻痺の回復過程の観察に有用である. |
| Author | 伊達, 和宏 |
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| References | 1) Hamilton SGL et al: Surgical anatomy of the facial musculature and muscle transplantation. InTerzis, JK (Ed): Microreconstruction of nerve injuries. pp571-586, W B Sanders Co Philadelphia, 1987. 17) Stålberg, E: Electrogenesis in human dystrophic muscle. In: Pathogenesis of human muscular dystrophies. pp570-589, Rowland, LP (Ed). Excerpta Medica, Amsterdam, 1977. 24) Buchthal F et al: Multielectrode study of the territory of a motor unit. Acta Physiol Scand 39: 83-104, 1957. 19) Thiele B et al: Single fiber EMG findings in polyneuropathies of different etiology. J Neurol Neurosurg Psychiatry 38: 881-887, 1975. 22) Oh SJ: The single fiber EMG in chronic demyelinating neuropathy. Muscle Nerve 12: 371-377, 1989. 7) Iritani H et al: An animal model for ischemic facial nerve paralysis with a selective embol-ization. Ear Res Jpn 20: 195-196, 1989. 12) Stålberg E et al: Single fiber EMG and micro-physiology of the motor unit in normal and diseased human muscle. In: New developments in electromyography and clinical neurophysiology. Desmedt,(Ed). Karger, Basel, pp113-129, 1973. 16) Stålberg E et al: Single muscle fiber recording of the jitter phenomenon in patients with myasthenia gravis and in members of their families. Ann N Y Acad Sci 274: 189-202, 1976. 5) Ekstedt J et al: Single fiber electromyography for the study of the microphysiology of the human muscle. In Desmedt, JE (Ed): New developments in electromyography and clinical neurophysiology. pp89-112, vol.1, Karger, Basel, 1973. 2) Stålberg E et al: Single fiber electromyography. pp1-224, Mirvalle Press, Old Woking, Surrey, UK, 1979. 20) Paolo G et al: Effect of ampicillin on neuromuscular transmission in healthy men. Eur Neurol 29: 36-38, 1989. 3) Ekstedt J et al: The construction of needle multi-electrodes for single fiber electromyography. Electroencephalogr Clin Neurophysiol 27: 540-543, 1969. 35) Trontelj JV et al: The jitter in stimulated orbicularis oculi muscle: technique and normal values. J Neurol Neurosurg Psychiatry 51: 814-819, 1988. 28) Hattori M: Single fiber electromyography in the cat extraocular muscles. Acta Soc Ophthalmol Jpn 90: 341-348, 1986. 34) Verschuuren J et al: Single fiber electromyography in experimental autoimmune myasthenia gravis. Muscle Nerve 13: 485-492, 1990 10) Schaeppi U et al: Single fiber electromyography. a method for the evaluation of motor axonopathy during toxicity studies in dogs. Agents Actions 11: 510-514, 1981. 15) Stålberg E et al: Single fiber electromyography in various processes affecting the anterior horn cell. J Neurol Sci 24: 403-415, 1975. 13) Stålberg E et al: Neuromuscular transmission in myasthenia gravis studied with single fiber electromyography. J Neurol Neurosurg Psychiatry 37: 540-547, 1974 25) Sanders DB et al: Single-fiber electromyography in myasthenia gravis. Neurology 29: 68-76, 1979. 11) Ekstedt J et al: Single muscle fiber electromyography in myasthenia gravis. In Kunze, K and Desmedt, JE (Eds): Studies in Neuromuscular Disease. Proceedings of the international symposium (Giessen) Karger, Basel, pp157-161, 1975. 36) Shields RW Jr: Single-fiber electromyography is a sensitive indicator of axonal degeneration in diabetes. Neurology 37: 1394-97, 1987. 29) Dahlback LO et al: Ischemic effects on impulse transmission to muscle fibers in man. Electroencephalogr Clin Neurophysiol 29: 579-591, 1970. 23) Ekstedt J: Human single muscle fiber action potentials. Acta Physiol Scand 61 Suppl 226: 1-96, 1964. 4) Ekstedt J et al: How the size of the needle electrode leading-off surface influences the shape of the single muscle fiber action potential in electromyography. Computer Prog Biomed 3: 204-212, 1973. 32) Jabre JF et al: Stimulation SFEMG in myasthenia gravis. Muscle Nerve 12: 38-42, 1989. 6) 細見英男他: 末梢性顔面神経麻痺の治癒状態の判定について. 耳鼻臨床67: 351-358, 1974 9) Kumoi T et al: Animal model for ischemic facial nerve paralysis with selective vascular embolization. Ann Otol Rhinol Laryngol 101: 423-429, 1992. 27) AAEM ad hoc committee of the AAEM: Single fiber EMG reference values: a collaborative effort. Muscle Nerve 15: 151-161, 1992. 30) Stålberg E et al: Electrical microstimulation with single-fiber electromyography: a useful method to study the physiology of the motor unit. J Clin Neurophysiol 9: 105-119, 1992. 8) Iritani H et al: Neurophysiology of ischemic facial nerve paralysis in an animal model. Acta Otolaryngol (Stockh) 111: 934-942, 1991. 26) Massey JM et al: Single fiber electromyography in myasthenia gravis during pregnancy. Muscle Nerve 16: 458-460, 1993. 18) Stålberg E: Neuromuscular transmission studied with single fiber electromyography. Acta Anaesth Scand Suppl 70: 112-117, 1978. 31) Trontelj JV et al: Responses to electrical stimulation of denervated human muscle fibers recorded with single fiber EMG. J Neurol Neurosurg Psychiatry 46: 305-309, 1983. 14) Hakelius L et al: Electromyographical studies of free autogenous muscle transplants in man. Scand J Plast Reconstr Surg Hand Surg 8: 211-219, 1974. 21) Uyama J et al: Single fiber electromyography of extraocular muscles in myasthenia gravis. Neuro-ophthalmology 13, 253-261, 1993. 33) Trontelj JV et al: The jitter in stimulated orbicularis oculi muscle: technique and normal values. J Neurol Neurosurg Psychiatry 51: 814-819, 1988. |
| References_xml | – reference: 5) Ekstedt J et al: Single fiber electromyography for the study of the microphysiology of the human muscle. In Desmedt, JE (Ed): New developments in electromyography and clinical neurophysiology. pp89-112, vol.1, Karger, Basel, 1973. – reference: 10) Schaeppi U et al: Single fiber electromyography. a method for the evaluation of motor axonopathy during toxicity studies in dogs. Agents Actions 11: 510-514, 1981. – reference: 35) Trontelj JV et al: The jitter in stimulated orbicularis oculi muscle: technique and normal values. J Neurol Neurosurg Psychiatry 51: 814-819, 1988. – reference: 7) Iritani H et al: An animal model for ischemic facial nerve paralysis with a selective embol-ization. Ear Res Jpn 20: 195-196, 1989. – reference: 12) Stålberg E et al: Single fiber EMG and micro-physiology of the motor unit in normal and diseased human muscle. In: New developments in electromyography and clinical neurophysiology. Desmedt,(Ed). Karger, Basel, pp113-129, 1973. – reference: 3) Ekstedt J et al: The construction of needle multi-electrodes for single fiber electromyography. Electroencephalogr Clin Neurophysiol 27: 540-543, 1969. – reference: 20) Paolo G et al: Effect of ampicillin on neuromuscular transmission in healthy men. Eur Neurol 29: 36-38, 1989. – reference: 30) Stålberg E et al: Electrical microstimulation with single-fiber electromyography: a useful method to study the physiology of the motor unit. J Clin Neurophysiol 9: 105-119, 1992. – reference: 29) Dahlback LO et al: Ischemic effects on impulse transmission to muscle fibers in man. Electroencephalogr Clin Neurophysiol 29: 579-591, 1970. – reference: 13) Stålberg E et al: Neuromuscular transmission in myasthenia gravis studied with single fiber electromyography. J Neurol Neurosurg Psychiatry 37: 540-547, 1974 – reference: 21) Uyama J et al: Single fiber electromyography of extraocular muscles in myasthenia gravis. Neuro-ophthalmology 13, 253-261, 1993. – reference: 26) Massey JM et al: Single fiber electromyography in myasthenia gravis during pregnancy. Muscle Nerve 16: 458-460, 1993. – reference: 36) Shields RW Jr: Single-fiber electromyography is a sensitive indicator of axonal degeneration in diabetes. Neurology 37: 1394-97, 1987. – reference: 17) Stålberg, E: Electrogenesis in human dystrophic muscle. In: Pathogenesis of human muscular dystrophies. pp570-589, Rowland, LP (Ed). Excerpta Medica, Amsterdam, 1977. – reference: 22) Oh SJ: The single fiber EMG in chronic demyelinating neuropathy. Muscle Nerve 12: 371-377, 1989. – reference: 2) Stålberg E et al: Single fiber electromyography. pp1-224, Mirvalle Press, Old Woking, Surrey, UK, 1979. – reference: 28) Hattori M: Single fiber electromyography in the cat extraocular muscles. Acta Soc Ophthalmol Jpn 90: 341-348, 1986. – reference: 15) Stålberg E et al: Single fiber electromyography in various processes affecting the anterior horn cell. J Neurol Sci 24: 403-415, 1975. – reference: 32) Jabre JF et al: Stimulation SFEMG in myasthenia gravis. Muscle Nerve 12: 38-42, 1989. – reference: 27) AAEM ad hoc committee of the AAEM: Single fiber EMG reference values: a collaborative effort. Muscle Nerve 15: 151-161, 1992. – reference: 9) Kumoi T et al: Animal model for ischemic facial nerve paralysis with selective vascular embolization. Ann Otol Rhinol Laryngol 101: 423-429, 1992. – reference: 6) 細見英男他: 末梢性顔面神経麻痺の治癒状態の判定について. 耳鼻臨床67: 351-358, 1974 – reference: 24) Buchthal F et al: Multielectrode study of the territory of a motor unit. Acta Physiol Scand 39: 83-104, 1957. – reference: 23) Ekstedt J: Human single muscle fiber action potentials. Acta Physiol Scand 61 Suppl 226: 1-96, 1964. – reference: 4) Ekstedt J et al: How the size of the needle electrode leading-off surface influences the shape of the single muscle fiber action potential in electromyography. Computer Prog Biomed 3: 204-212, 1973. – reference: 11) Ekstedt J et al: Single muscle fiber electromyography in myasthenia gravis. In Kunze, K and Desmedt, JE (Eds): Studies in Neuromuscular Disease. Proceedings of the international symposium (Giessen) Karger, Basel, pp157-161, 1975. – reference: 25) Sanders DB et al: Single-fiber electromyography in myasthenia gravis. Neurology 29: 68-76, 1979. – reference: 34) Verschuuren J et al: Single fiber electromyography in experimental autoimmune myasthenia gravis. Muscle Nerve 13: 485-492, 1990 – reference: 16) Stålberg E et al: Single muscle fiber recording of the jitter phenomenon in patients with myasthenia gravis and in members of their families. Ann N Y Acad Sci 274: 189-202, 1976. – reference: 19) Thiele B et al: Single fiber EMG findings in polyneuropathies of different etiology. J Neurol Neurosurg Psychiatry 38: 881-887, 1975. – reference: 31) Trontelj JV et al: Responses to electrical stimulation of denervated human muscle fibers recorded with single fiber EMG. J Neurol Neurosurg Psychiatry 46: 305-309, 1983. – reference: 8) Iritani H et al: Neurophysiology of ischemic facial nerve paralysis in an animal model. Acta Otolaryngol (Stockh) 111: 934-942, 1991. – reference: 18) Stålberg E: Neuromuscular transmission studied with single fiber electromyography. Acta Anaesth Scand Suppl 70: 112-117, 1978. – reference: 33) Trontelj JV et al: The jitter in stimulated orbicularis oculi muscle: technique and normal values. J Neurol Neurosurg Psychiatry 51: 814-819, 1988. – reference: 14) Hakelius L et al: Electromyographical studies of free autogenous muscle transplants in man. Scand J Plast Reconstr Surg Hand Surg 8: 211-219, 1974. – reference: 1) Hamilton SGL et al: Surgical anatomy of the facial musculature and muscle transplantation. InTerzis, JK (Ed): Microreconstruction of nerve injuries. pp571-586, W B Sanders Co Philadelphia, 1987. |
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| SubjectTerms | jitter値 単一筋線維筋電図 棄却楕円図による統計解析 神経麻痺動物モデル 顔面神経麻痺 |
| Title | 末梢性顔面神経麻痺の筋電図学的単一筋線維に関する研究 |
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