Postauricular Response in Motor Paresis with Intracranial Lesions
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概要
- 論文の詳細を見る
The clinical usefulness of the postauricular response (PAR) in the evaluation of motor paresis was studied in 105 patients with intracranial lesions and 25 normal volunteers. Click stimuli at 90dB hearing level were delivered in each ear, and PARs recorded from bilateral posterior auricular muscles with reference to the vertex (Cz). No volunteer demonstrated PAR in the relaxed posture, but in tensed postures increasing muscle tone PARs were elicited with a latency of 11.5±0.7 msec and an amplitude of 6.2±2.8 μV. Sixty-two patients (59%) had high-amplitude PARs in the relaxed posture. PARs were enhanced more frequently in paretic patients than in non-paretic patients (p<0.01). In subcortical lesions, the PAR latency had a significant correlation with the degree of motor paresis (p<0.005). In patients, the enhanced PAR amplitude suggested the presence of motor paresis associated with deep-seated mass lesions. The enhanced response is thought to be associated with dysfunction of the pyramidal and extrapyramidal tracts.
- 日本脳神経外科学会の論文
- 1992-07-15
著者
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TSUJI Naoki
Department of Clinical Laboratory Medicine, Sapporo Medical University School of Medicine
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Tsuji Naoki
Department Of Clinical Laboratory Medicine Sapporo Medical University School Of Medicine
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OGURA Mitsuhiro
Department of Neurosurgery, Wakayama Medical University
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Ogura Mitsuhiro
Department Of Neurological Surgery Wakayama Medical College
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Ogura Mitsuhiro
Department Of Neurological Surgery Wakayama Medicaj University
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Komai Norihiko
Department Of Neurological Surgery Wakayama Medical College
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IMAE Shinji
Department of Neurological Surgery, Wakayama Medical University
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KUWATA Toshikazu
Department of Neurosurgery, Japanese Red Cross Society Wakayama Medical Center
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Kuwata Toshikazu
Department Of Neurological Surgery Wakayama Medical College
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Kuwata Toshikazu
Department Of Neurological Surgery Hidaka General Hospital
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Kuwata Toshikazu
Department Of Neurosurgery Japanese Red Cross Society Wakayama Medical Center
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FUNAHASHI Kazuyoshi
Department of Neurological Surgery, Wakayama Medical College
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NAKA Daisuke
Department of Neurological Surgery, Wakayama Medical College
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Naka Daisuke
Department Of Neurological Surgery Wakayama Medical College
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Tsuji Naoki
Department Of Neurological Surgery Wakayama Medical College
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Imae Shinji
Department Of Neurological Surgery Wakayama Medical College
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Funahashi Kazuyoshi
Department Of Neurological Surgery Wakayama Medical College
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